Vaginal sacrospinous ligament fixation with the Autosuture Endostitch device

Article Abstract:

A new, disposable suturing device may be an improvement over conventional suturing techniques in vaginal sacrospinous ligament fixation. Seventeen women had the procedure with the new device as part of other gynecologic surgery. Almost all women had minimal blood loss from the procedure. No complications occurred. Follow-up time ranged from two to 18 months, during which time two women developed vaginal prolapse. The device eliminates the need for retraction, which eliminates the need for an assistant and minimizes the risk of injuring blood vessels. It also makes handling the needle easier and safer for the operator.

Equipment and supplies, Suturing, Uterus, Uterine prolapse

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The risk of cystocele after sacrospinous ligament fixation

Article Abstract:

Sacrospinous ligament fixation does not increase the risk of cystocele in women. Cystocele occurs when the bladder begins to protrude into the vagina. It often occurs in women who have had a sacrospinous ligament fixation, which is a surgical technique to prevent the vagina from prolapsing. Researchers analyzed the rate of cystocele in 395 women who had pelvic reconstructive surgery, some of whom had a sacrospinous ligament fixation and some of whom did not. The rate of cystocele was no higher in those who had a sacrospinous ligament fixation and those who did not.

Risk factors, Vaginal diseases, Pelvis

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Sensory nerve injury after uterosacral ligament suspension

Article Abstract:

The clinical evaluation and management of lower extremity sensory nerve symptoms after uterosacral ligament suspension (USLS) are reported. It is suggested that women who undergo USLS are at risk of experiencing postoperative pain and numbness in the posterior thigh, which might be relieved either by removal of the ipsilateral uterosacral ligament suture or with prolonged medical therapy.

Injuries, Women, Nerves, Women's health, Pain, Postoperative, Postoperative pain

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