Anatomical landmarks regarding sacrospinous colpopexy operations performed for vaginal vault prolapse

Sagsoz N., Ersoy M., Kamaci M., Tekdemir İ.

European Journal of Obstetrics and Gynecology and Reproductive Biology, cilt.101, sa.1, ss.74-78, 2002 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 101 Sayı: 1
  • Basım Tarihi: 2002
  • Doi Numarası: 10.1016/s0301-2115(01)00507-3
  • Dergi Adı: European Journal of Obstetrics and Gynecology and Reproductive Biology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.74-78
  • Anahtar Kelimeler: sacrospinous ligament, pudendal nerve, inferior gluteal artery, sciatic nerve, PELVIC SUPPORT DEFECTS, LIGAMENT FIXATION, HYSTERECTOMY
  • Ankara Üniversitesi Adresli: Evet

Özet

Aim: To investigate the anatomical relationships of the structures and the topographic anatomy of the sacrospinous ligament and validate current anatomic knowledge of this area. Materials: Nine embalmed half female cadaver pelvises were dissected to reveal the anatomy of the sacrospinous ligament. Results: The average length of the sacrospinous ligament was measured to be 43.04±6.58mm. The inferior gluteal complex emerges from the infrapiriform foramen at a distance of 17.02±3.08mm from the ischial spine and courses to inferior-laterally with a slight curve. During this course, it passes close to the upper-lateral half of the sacrospinous ligament. The pudendal complex passes above the spine in six of the nine cases (66.6%) and lies maximum of 5.5mm medial to the spine. On average the sciatic nerve is measured to be 25.14±3.94mm lateral to the ischial spine. Conclusion: Placing the suture inferomedially and close to sacrum, the risk of complication will be minimal. © 2002 Elsevier Science Ireland Ltd. All rights reserved.