Native tissue sacrospinous hysteropexy from an anterior approach.

International Urogynecology Journal
Andre Plair, Catherine Matthews

Abstract

The goal of urogynecologic surgeons is to pair patients with the most appropriate and effective surgery. Sacrospinous hysteropexy has become an increasingly utilized surgical option for uterovaginal prolapse repair. The primary aim of this video is to highlight the role that sacrospinous hysteropexy can have in prolapse repair and to demonstrate an anterior approach for this procedure. We performed a literature review to provide general information on the efficacy, risks, and comparative benefits of sacrospinous hysteropexy. Our video demonstrates the key steps in performing a sacrospinous hysteropexy procedure from an anterior approach including method of dissection, suture fixation to the sacrospinous ligament, and cervical suspension. Sacrospinous hysteropexy has generally been found to be an effective option for uterovaginal prolapse repair in properly selected patients. The demonstrated approach integrates sacrospinous ligament fixation with an anterior colporrhaphy. Data and experience to date on sacrospinous hysteropexy are largely based on a posterior approach for access to the sacrospinous ligament. This surgical video demonstrates an anterior approach to sacrospinous hysteropexy that is not well characterized in the l...Continue Reading

References

Jan 25, 2002·International Urogynecology Journal and Pelvic Floor Dysfunction·C F MaherP Schluter
Mar 14, 2003·American Journal of Obstetrics and Gynecology·M HefniE Katsimanis
Oct 17, 2009·International Urogynecology Journal·Viviane DietzSteven E Schraffordt Koops
Jun 30, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Paolo PetruzzelliTullia Todros
Mar 5, 2017·International Urogynecology Journal·Shveta KapoorVishal Kapoor
Aug 15, 2017·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Sabri CavkaytarOrhan Aksakal
May 6, 2019·International Urogynecology Journal·Karen Ruben HusbyNiels Klarskov

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