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Updated: Jan 6, 2026
Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
Late suture site complications of sacrospinous ligament fixation
Mostafa A Hamdy1, Waleed A Sayed Ahmed1, Omima T Taha1
1Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Ring Road, Ismailia 41111, Egypt.
Study Objective:
To evaluate the late suture- related complications of sacrospinous ligament fixation (SSLF) as a treatment for uterovaginal prolapse and their impact on the quality of life.
Design:
A prospective cohort study.
Settings:
The Obstetrics and Gynecology Department of Suez Canal University Hospitals, Ismailia, Egypt from January 2014 to June 2018.
Patients:
We recruited sixty women with uterovaginal prolapse.
Interventions:
Patients underwent SSLF using the Capio suture recapturing device with non-absorbable suture material (0 braided Polyester). Postoperative visits were at six weeks then at 6, 12, 18, and 24 months after the procedure.
Measurements And Main Results:
Outcome measures were the rate and timing of suture- related and the quality of life using the pelvic floor impact questionnaire-7 at 24 months postoperatively. The mean age of the studied population was 45.7 ± 9.8 years. Suture- related complications occurred in 55% (33/60) of patients, with vaginal discharge the most commonly reported symptom. Most of them presented in the 1st year after the procedure 72.7% (24/33), and 25% (15/60) had suture removal. However, there was a significant improvement in patients' quality of life.
Conclusion:
Sacrospinous ligament fixation has a positive impact on the quality of life, yet associated with significant but prominent suture- related complications.
