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Modification of abdominal sacrocolpopexy using a suture anchor system
1Department of Obstetrics and Gynecology, Georgetown University Medical Center, Washington, D.C., USA. sanzle@aol.com
The Journal of Reproductive Medicine
|September 5, 2003
Summary
A new technique for abdominal sacrocolpopexy using the Vesica PRESS IN Suture Anchor System offers a safe and effective treatment for vaginal vault prolapse, ensuring speedy recovery and satisfactory results.
Area of Science:
- Urogynecology
- Pelvic reconstructive surgery
Background:
- Vaginal vault prolapse requires effective surgical solutions.
- Traditional methods may have limitations or risks.
Purpose of the Study:
- To describe a novel technique for abdominal sacrocolpopexy.
- Utilize Prolene mesh and the Vesica PRESS IN Suture Anchor System.
- Treat total vaginal vault prolapse.
Main Methods:
- Patient selection: new and recurrent vaginal prolapses unsuitable for vaginal sacrospinous ligament suspension.
- Surgical technique: abdominal sacrocolpopexy with Prolene mesh and Vesica PRESS IN Suture Anchor System for vaginal vault suspension from L-5 or S-1 vertebra.
Main Results:
- 11 patients treated with the modified technique.
- Speedy recovery observed in all patients.
- No complications and satisfactory outcomes reported.
Conclusions:
- The Vesica PRESS IN Suture Anchor System simplifies mesh suture placement.
- Minimizes risk of damage to presacral vessels, inferior vena cava, and aorta.
- Preserves natural vaginal axis, coital function, and offers a lasting solution for vaginal vault prolapse.