Article ; Online: The minimally invasive sacrospinous fixation under visual guidance: An anatomical study.
European journal of obstetrics, gynecology, and reproductive biology
2024 Volume 297, Page(s) 36–39
Abstract: Objective: Sacrospinous fixation is the gold standard procedure for management of apical pelvic organ prolapse by the vaginal route. However, there may be a relevant risk of neurovascular injury due to the proximity of neurovascular structures. We ... ...
Abstract | Objective: Sacrospinous fixation is the gold standard procedure for management of apical pelvic organ prolapse by the vaginal route. However, there may be a relevant risk of neurovascular injury due to the proximity of neurovascular structures. We propose an anatomical study concerning the sacrospinous ligament with a new innovative minimally invasive technology using both a suture capturing device and a chip-on-the-tip endoscope to perform sacropinous fixation. Study design: Bilateral sacrospinous fixation was performed in three female cadavers, in the course of the anatomical study conducted with a specific device (the Suture Capturing I Stitch™ Device) under real time visual guidance with a chip-on -the-tip endoscope, the NanoScope™ system. Results: Identification of ischial spine and sacrospinous ligament as well as feasibility of sacrospinous fixation under NanoScope™ control were always possible on both sides. Conclusions: This new innovative minimally invasive technology using both a suture capturing device and a chip-on-the-tip endoscope is relevant and could be an advantage in terms of safety and better placement of the suture on the sacrospinous ligament. |
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Language | English |
Publishing date | 2024-03-31 |
Publishing country | Ireland |
Document type | Journal Article |
ZDB-ID | 190605-7 |
ISSN | 1872-7654 ; 0301-2115 ; 0028-2243 |
ISSN (online) | 1872-7654 |
ISSN | 0301-2115 ; 0028-2243 |
DOI | 10.1016/j.ejogrb.2024.03.039 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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