AI Article Synopsis
- The study aimed to understand how uterosacral ligament suspension (USLS) sutures interact with nearby anatomical structures.
- The researchers examined these relationships in 15 unembalmed female cadavers, measuring distances from sutures to the ureters and rectal lumen.
- Results showed that USLS sutures can potentially injure the ureters, rectum, and pelvic neurovascular structures, highlighting the need for careful placement during surgical procedures.
Article Abstract
Objective: The objective of the study was to characterize anatomic relationships of uterosacral ligament suspension (USLS) sutures.
Study Design: The relationship of USLS sutures to the ureters, rectal lumen, and sidewall neurovascular structures was examined in 15 unembalmed female cadavers.
Results: The mean distance of the proximal sutures to the ureters and rectal lumen was 14 mm (range, 0-33) and 10 mm (range, 0-33), respectively. The mean distance of the distal sutures to the ureters was 14 mm (range, 4-33) and to the rectal lumen 13 mm (range, 3-23). Right sutures were noted at the level of S1 in 37.5%, S2 in 37.5%, and S3 in 25% of specimens. Left sutures were noted at the level of S1 in 50%, S2 in 29.2%, and S3 in 20.8% of cadavers. Of 48 sutures passed, 1 entrapped the S3 nerve. Sutures perforated the pelvic sidewall vessels in 4.1% of specimens.
Conclusion: USLS sutures can directly injure the ureters, rectum, and neurovascular structures in the pelvic walls.
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| http://dx.doi.org/10.1016/j.ajog.2007.08.065 | DOI Listing |
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