A retrospective study was conducted to select endometriotic patients in our hospital from January 2013 to December 2014, and the patients with sacrospinous ligament
Pelvic organ prolapse treatment modalities based on minimally invasive and laparoscopic and robotic interventions Interventions Success rate Transvaginal sacrospinous ligament
50%-100% suspension stapled fixation Anterior suturing device 90% Laparoscopic sacrocolpopexy 78%-100% Robotic-assisted laparoscopic sacrocolpopexy 84%-100% TABLE 4.
A surgical procedure that avoids the inconvenience of urinary tract dysfunction should be pursued when an anterior compartment prolapse repair is performed using mesh anchored to the sacrospinous ligament
via an anterior approach.
(6) The authors of that clinical trial recently revealed that at the 5-year follow-up, these failure rates progressed to 70% for sacrospinous ligament
fixation and 61% for uterosacral ligament suspension (data presented at the Society of Gynecologic Surgeons Annual Scientific Meeting 2018, Orlando, Florida).
This study was done to evaluate the effectiveness of sacrospinous ligament
fixation for vault suspension in patients of vault prolapse.
A total of 186 underwent sacrospinous ligament
fixation (SSLF), while 188 patients underwent uterosacral ligament suspension (ULS).
In brief sacrospinous ligament
fixation was performed as follows.
It must be kept in mind that certain prolapse procedures, such as sacrospinous ligament
fixation and colpocleisis, have a particularly high risk of postoperative occult SUI.
* extraperitoneal vaginal colpopexy (eg, sacrospinous ligament
suspension, or SSLS, 57282)
fixation and modified McCall culdoplasty during vaginal hysterectomy for advanced uterovaginal prolapse.
The Pinnacle Pelvic Floor Repair Kit and Uphold Vaginal Support System (both from Boston Scientific) and the Elevate Apical and Posterior Prolapse Repair System (American Medical Systems) use an anterior compartment approach, and use the sacrospinous ligament
as their principal anchor of support, he said.
Corticosteroid injection at the sacrospinous ligament
insertion decreases pain (SOR: B, RCT).