Abstract
Objective
A new technique for sacrospinous ligament fixation, which allows rapid and safe suture placement and automatic suture retrieval, is described and compared with Deschamps ligature carrier.
Method
Sacrospinous ligament fixation was performed by Deschamps ligature carrier over 30 patients and the new procedure was applied over 27 patients. Patients were evaluated with respect to the operative time, blood loss and complications.
Result
For the control group, it took 795 ± 190.8 (480–1200) s for the placement of sutures. For the study group, it was 48.66 ± 14.0 (32–90) s. Significant difference was found between the two groups in terms of time spent for suture placement, being shorter in the study group in which the new technique was used.
Conclusion
The instrument described here seems to improve suture placement and retrieval during sacrospinous ligament fixation. It avoids the need for retractors reducing the risk of damage to the vessels and nerves in the area. It offers a quick and easy way of performing sacrospinous ligament fixation.
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References
Lind LR, Choe J, Bhatia NN (1997) An in-line suturing device to simplify sacrospinous vault suspension. Obstet Gynecol 89:129–32
Miyazaki FS (1987) Miya hook ligature carrier for sacrospinous ligament suspension. Obstet Gynecol 70:286–8
Randall CL, Nichols DH (1971) Surgical treatment of vaginal inversion. Obstet Gynecol 38:327–32
Schlesinger RE (1997) Vaginal sacrospinous ligament fixation with the Autosuture Endostitch device. Am J Obstet Gynecol 176:1358–62
Sharp TR (1993) Sacrospinous suspension made easy. Obstet Gynecol 82:873–5
Veronikis DK, Nichols DH (1997) Ligature carrier specifically designed for transvaginal sacrospinous colpopexy. Obstet Gynecol 89:478–81
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Aksakal, O.S., Özyer, Ş.Ş., Güngör, T. et al. Comparison of a new technique with deschamps ligature carrier for sacrospinous ligament fixation. Arch Gynecol Obstet 276, 591–594 (2007). https://doi.org/10.1007/s00404-007-0377-6
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DOI: https://doi.org/10.1007/s00404-007-0377-6