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Modification of the Miya hook in vaginal colpopexy
T F Mattox1, T Kelly, N N Bhatia
1Department of Obstetrics and Gynecology, University of California, Los Angeles Harbor/UCLA Medical Center, School of Medicine, Torrance, USA.
Objective:
To evaluate a modification of the Miya hook in performing vaginal sacrospinous ligament fixation.
Study Design:
The modification was performed in over 50 patients. It involves placing the needle through the ligament unloaded; then the hook is back-threaded with the appropriate suture. The hook is then withdrawn, bringing the suture with it.
Results:
There were no complications as a result of this modification. The technique was faster, used fewer instruments and obviated fraying of the suture. It could also be adapted when retrieving the suture when the classic technique proved difficult.
Conclusion:
The ease of this modification should promote the use of this instrument in performing vaginal sacrospinous ligament fixation.