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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Article Synopsis
- Pelvic organ prolapse (POP) is prevalent among women post-birth, affecting 40-60%, and often involves issues that can't be corrected without addressing connected defects like perineal body incompetency.
- A clinical trial will involve 310 women, dividing them into two groups: one receiving standard procedures and the other receiving those plus perineoplasty.
- The study aims to determine if adding perineoplasty improves the outcomes of pelvic organ prolapse surgery, as past research hasn't conclusively shown its effectiveness in preventing recurrence.
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