While a number of transvaginal hysteropexy techniques have been described over the years, the sacrospinous hysteropexy is the best studied technique and the literature reports favorable data regarding anatomic and functional outcomes.

Sacrospinous hysteropexy is the most commonly performed procedure for vaginal hysteropexy using native tissues . Usually, the right-sided sacrospinous ligament is identified through extraperitoneal dissection and then attached to the posterior cervix ( Fig. 1 ).

2014年9月17日 · Worldwide, vaginal hysterectomy is the leading treatment method for patients with symptomatic uterovaginal prolapse. Several studies have shown that vaginal sacrospinous hysteropexy and laparoscopic sacrohysteropexy are safe and effective alternatives in treating uterine descent.

2021年8月30日 · Operative time was significantly shorter with a sacrospinous procedure (median 89 minutes; range, 42-207 minutes compared with 104 minutes; range, 47-150 minutes, P =0.04).

In the sacrospinous hysteropexy group the proportion of women with anterior compartment anatomical failure, defined as a stage 2 pelvic organ prolapse or higher of the anterior vaginal wall, was greater after 12 months (47%) compared with the results at five year follow-up (40%).

Sacrospinous hysteropexy is the most studied technique for uterus preservation, and favorable results have been demonstrated, although most studies are limited by selection and information bias, short follow-up periods and a lack of adequate control groups (6).

A sacrospinous hysteropexy involves supporting the uterus using stitches to fix it to a strong ligament inside the pelvis. The operation is performed through the vagina and is often performed at the same time as other prolapse operations such as anterior and posterior repair. What are the benefits and how long will it work for?

2019年9月10日 · Sacrospinous hysteropexy—Vaginal sacrospinous hysteropexy was performed unilaterally to the right sacrospinous ligament. The posterior vaginal wall was incised and the sacrospinous ligament accessed through the pararectal space.

2017年3月3日 · Sacrospinous hysteropexy is a uterine-preserving procedure for treatment of apical prolapse. We present a literature review evaluating the sacrospinous hysteropexy procedure and its current place in the surgical management of pelvic organ prolapse.

In sacrospinous hysteropexy, the uterus is fixated unilaterally to the right sacrospinous ligament with 2 nonabsorbable sutures running through the posterior side of the cervix.