PFD Week 2017-The 4-Wall Sacrospinous Ligament Suspension: Secrets to Success For Complex Cases

The 4-Wall Sacrospinous Ligament Suspension: Secrets to Success For Complex Cases

Video Transcription

Video Summary

The video demonstrates the techniques and strategies used in the Michigan 4-Wall Sacrospinous Ligament Suspension for achieving excellent outcomes in a variety of complex cases. The 4-Wall technique differs from traditional Sacrospinous Ligament Suspension by excising excess vaginal length, including the anterior, posterior, and lateral walls in the suspension, avoiding contralateral wall descent, and using absorbable sutures for direct healing. The video showcases different scenarios and the adjustments made in suspension points to resolve specific issues and optimize outcomes. The importance of appropriate vaginal length and tailored repair for each patient's prolapse is highlighted, along with the possibility of performing the suspension during hysterectomy or uterine sparing surgery. The video concludes with various case examples and successful outcomes of the Michigan 4-Wall technique for complex cases.

Asset Subtitle

Natalie Karp, MD

Keywords

Michigan 4-Wall Sacrospinous Ligament Suspension

techniques and strategies

complex cases

vaginal length

absorbable sutures