Comparison of a new technique with Deschamps ligature carrier for sacrospinous ligament fixation

Arch Gynecol Obstet. 2007 Dec;276(6):591-4. doi: 10.1007/s00404-007-0377-6. Epub 2007 May 10.

Abstract

Objective: A new technique for sacrospinous ligament fixation, which allows rapid and safe suture placement and automatic suture retrieval, is described and compared with Deschamps ligature carrier.

Method: Sacrospinous ligament fixation was performed by Deschamps ligature carrier over 30 patients and the new procedure was applied over 27 patients. Patients were evaluated with respect to the operative time, blood loss and complications.

Result: For the control group, it took 795 +/- 190.8 (480-1200) s for the placement of sutures. For the study group, it was 48.66 +/- 14.0 (32-90) s. Significant difference was found between the two groups in terms of time spent for suture placement, being shorter in the study group in which the new technique was used.

Conclusion: The instrument described here seems to improve suture placement and retrieval during sacrospinous ligament fixation. It avoids the need for retractors reducing the risk of damage to the vessels and nerves in the area. It offers a quick and easy way of performing sacrospinous ligament fixation.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Female
  • Gynecologic Surgical Procedures / instrumentation*
  • Humans
  • Ligaments / surgery
  • Ligation / instrumentation
  • Middle Aged
  • Suture Techniques / instrumentation*
  • Uterine Prolapse / surgery*