Ligature carrier specifically designed for transvaginal sacrospinous colpopexy

A new ligature carrier designed for sacrospinous colpopexy permits bite acquisition to be performed under direct surgical visualization within the confines of the pararectal space. In addition, it permits ample penetration of the sacrospinous ligament through the coccygeus muscle, without restriction of suture type, size, or number of sutures per bite. As part of site-specific reconstructive pelvic surgery, we have performed sacrospinous colpopexy using this ligature carrier in 71 patients with genital prolapse. We have encountered no operative complications from the use of this ligature carrier.