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Sacrospinous Ligament Fixation Simplified with a New Endoscopic Suturing Device
1Department of Obstetrics, Gynecology, and Reproductive Sciences, St. Joseph Hospital, 1315 Calhoun, Suite 1300, Houston, TX 77002.
Summary
The EndoStitch device offers a safe and quick method for sacrospinous ligament fixation, effectively treating pelvic floor disorders in women with minimal complications and a low failure rate.
Area of Science:
- Urogynecology and Pelvic Reconstructive Surgery
Background:
- Pelvic floor disorders (PFDs) significantly impact women's quality of life.
- Sacrospinous ligament fixation is a surgical option for apical prolapse.
Purpose of the Study:
- To evaluate the effectiveness and safety of the EndoStitch device for sacrospinous ligament fixation.
- To assess the combination of this technique with correction of other PFDs.
Main Methods:
- The study involved 28 women undergoing sacrospinous ligament fixation using the EndoStitch device.
- Surgidac suture application and retrieval were performed, with follow-up on vaginal support, length, axis, sexual function, and lower urinary/bowel function.
Main Results:
- The EndoStitch device facilitated quick (under 5 minutes) and complication-free application and retrieval.
- One failure was reported among the 28 patients.
- Vaginal vault support, length, and axis were assessed post-operatively.
Conclusions:
- Sacrospinous ligament fixation with the EndoStitch is an easy, safe, and teachable technique.
- The method appears effective for treating pelvic floor disorders, including vaginal vault prolapse.