Skip Navigation LinksHome > October 2011 - Volume 23 - Issue 5 > Sacrospinous ligament fixation for pelvic organ prolapse in...
Current Opinion in Obstetrics & Gynecology:
doi: 10.1097/GCO.0b013e32834ac743
Urogynecology: Edited by Narender Bhatia

Sacrospinous ligament fixation for pelvic organ prolapse in the era of vaginal mesh kits

Yazdany, Tajnoosa; Wong, Kerib; Bhatia, Narender N.a

Collapse Box

Abstract

Purpose of review: To examine the sacrospinous ligament as a point of attachment for pelvic organ prolapse procedures, including vaginal mesh kits.

Recent findings: Pelvic surgeons are increasingly employing the sacrospinous ligament as a point of attachment for biologic grafts and synthetic mesh kits during uterovaginal prolapse repairs. These techniques may have introduced a novel set of complications (mesh extrusion, erosion) in addition to those already known to occur in traditional sacrospinous ligament fixations. Except for limited short-term results, little data are available in the literature regarding surgical outcomes and complications for mesh and graft augmented repairs attached to the sacrospinous ligament.

Summary: The sacrospinous ligament fixation is a well tolerated and effective procedure for suspension of the vaginal apex. Mesh augmentation using the sacrospinous ligament may improve objective prolapse recurrence, but complications still occur, including those specific to mesh placement.

© 2011 Lippincott Williams & Wilkins, Inc.

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.