Related Experiment Video
Updated: Jun 6, 2026
Development of a Uterosacral Ligament Suspension Rat Model
Published on: August 17, 2022
Is standardised vaginal sacrospinous ligament fixation a safe teaching procedure for residents?
Axel Sauerwald1, Inke Bruns, Barbara Peveling
1Frauenklinik Holweide, Kliniken der Stadt Köln gGbmH, Neufelder Str 32, 51067 Cologne, Germany. sauerwalda@kliniken-koeln.de
Introduction And Hypothesis:
Several modifications of sacrospinous ligament fixation (SLF) are described.
Methods:
This study presents a standardised SLF technique. Perioperative course and outcome are compared retrospectively after surgery is performed by experienced surgeons or by residents.
Results:
Two hundred three SLF were analysed. Eight residents (LO) operated on 41 patients (5.1 ± 2.2). Six experienced surgeons (SO) operated on 162 patients (27.0 ± 25.7). Mean operating time was 67 ± 33 min. (LO 99 ± 45 min vs. SO 59 ± 22 min, p < 0.05). The overall morbidity rate was 7.8%. There was no significant difference regarding complications and outcomes between SO and LO.
Conclusions:
Operation time was longer but outcomes were identical, and morbidity rate was not increased in the group of resident surgeons. In comparison to literature, complication rate was low. SLF should be part of residency programmes.
