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Related to Sacrospinous ligament: Greater sciatic foramen
See: chain, nexus
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This abstract describes results of a study to evaluate the force required to remove a mesh leg from the sacrospinous ligaments if a surgeon feels the initial placement was not adequate and that readjustment is needed.
In addition, new tools and variations in technique, such as use of the Capio needle driver, have made sacrospinous ligament suspension easier and safer.
This study evaluates the reproducibility and anatomical risks after anterior sacrospinous ligament fixation associated with paravaginal repair using the Pinnacle Pelvic Floor Repair device.
When an apical repair procedure such as uterosacral ligament suspension or sacrospinous ligament suspension is performed in conjunction with anterior colporrhaphy--which is more often than not--the sutures for the apical repair should be placed and held prior to initiating the anterior colporrhaphy.
Some surgeons have alternatively modified the anterior kit procedure to be able to place the mesh arms through the sacrospinous ligament.
I like to have the patient's back parallel to the floor and to lower the table accordingly so the cannula-equipped guide can be pushed straight in and the tip advanced toward the underside of the sacrospinous ligament.