Preoperative and postoperative analysis of site-specific pelvic support defects in 81 women treated with sacrospinous
ligament suspension and pelvic reconstruction.
Further pelvic opening appeared to be resisted by the anterior sacroiliac ligaments, along with the sacrospinous
Nutation denotes sacral base translation anteroinferiorly on the ilium [36,38], and is checked by the sacrotuberous and sacrospinous
Further modification of force transmission may also occur via its relationship with the dorsal sacroiliac and sacrospinous
These included urethral slings (n = 26), hysterectomy (n = 6), myorraphy (n = 3), sacrospinous
fixation (n = 8) and hernia repair (n = 1).
2) hysterectomy, n (%) Sacrospinous
fixation, 1 (1.
Two-year outcomes were similar between women who underwent transvaginal sacrospinous
ligament fixation and those who underwent transvaginal uterosacral ligament suspension to correct apical vaginal or uterine prolapse and stress incontinence in the first randomized trial to compare the two approaches.
Elevate offers safe, simple and precise apical mesh placement in the sacrospinous
ligament through a single vaginal incision.
A recently described alternative open technique consists of a transgluteal approach, which allows access to the pudendal nerve between the sacrospinous
and the sacrotuberous ligaments (Fig.
The nerve runs between the sacrospinous
and sacrotuberous ligaments, for instance, and entrapment between these two ligaments is probably the most common cause of pudendal neuralgia.
However, when it came to surgery, urologists inserted a mesh with sacrospinous
ligament fixation much more frequently than gynaecologists (58% v.
fixation, uterosacral ligament plication) and abdominal access techniques (e.