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

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

Current Opinion in Obstetrics & Gynecology:
doi: 10.1097/GCO.0b013e32834ac743
Urogynecology: Edited by Narender Bhatia
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.

Author Information

aDivision of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Harbor UCLA Medical Center, Carson St., Torrance

bDivision of Female Pelvic Medicine and Reconstructive Surgery, Harbor UCLA Medical Center, Los Angeles, California, USA

Correspondence to Tajnoos Yazdany MD, Assistant Professor, David Geffen School of Medicine at UCLA, Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Harbor UCLA Medical Center, 1000 W. Carson St., Torrance Ca 90509–2910, USATel: +1 310 222 3868; fax: +1 310 222 4149; e-mail: tyazdany@obgyn.humc.edu

© 2011 Lippincott Williams & Wilkins, Inc.