Mini-invasive posterior sacrospinous ligament fixation using the CAPIO needle driver: an anatomical study

Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
Idir OuzaidV Delmas

Abstract

To study anatomical risks after posterior sacrospinous ligament fixation using the CAPIO needle driver. A simplified bilateral posterior sacrospinous ligament fixation was performed on seven fresh female cadavers using the CAPIO needle driver. Cadavers were installed in gynaecologic position then dissected by the abdominal route. The posterior sacrospinous ligament fixation was performed after a posterior vaginal wall incision on the midline and a simplified dissection of both pararectal fossae. The abdominal dissection was focused on the sacrospinous ligament area. We measured the distance between the neurovascular elements adjacent to the sacrospinous ligament from the suture site. Thirteen sacrospinous ligaments were available for analysis. The mean length (+/-SD) of the ligament was 51+/-9.2 mm and the mean width at the level of fixation (+/-SD) was 23.5+/-5.7 mm. No rectal injury was observed. Fixations were in the deeper (ligament) and medium (muscle) part of the SSL in eight (61%) and five (39%) cases respectively. The ischial spine was 21.6 mm (range: 13-30). The mean distances between fixation and pudendal nerve and artery were 16.1 mm (range: 4-32) and 20 mm (range: 12-37) respectively. Mini-invasive posterior sacrosp...Continue Reading

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Citations

Sep 21, 2011·International Urogynecology Journal·Umberto Leone Roberti MaggioreSergio Costantini
Sep 4, 2012·Archives of Gynecology and Obstetrics·Umberto Leone Roberti MaggioreSimone Ferrero
Dec 6, 2014·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Jane A Manning, Peter Arnold
Jun 30, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Paolo PetruzzelliTullia Todros

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