PFD Week 2016-Sacrospinous Ligament Fixation: An Instructional Video

Sacrospinous Ligament Fixation: An Instructional Video

Video Transcription

Video Summary

This video aims to provide an understanding of the pararectal anatomy and the surgical approaches and outcomes of sacrospinous ligament fixation. The sacrospinous ligament, first used for vaginal vault prolapse repair in 1958, has become an important structure in reconstructive pelvic surgery. The ligament is approximately 5 cm long and is close to various vascular structures and nerves. The video discusses two surgical approaches: the posterior and anterior approaches. Proper exposure is crucial for successful suture placement. Several instruments for suture placement are available, and the preference varies among surgeons. Complications can occur, including vascular injury, buttock pain, nerve injury, and vaginal stenosis. Overall, access to the sacrospinous ligament is important for reconstructive pelvic surgery, but surgeons must be aware of the anatomy to avoid complications.

Asset Subtitle

Nathan Kow, MD

Keywords

pararectal anatomy

surgical approaches

sacrospinous ligament fixation

reconstructive pelvic surgery

vaginal vault prolapse repair