title: Modification of the Miya hook in vaginal colpopexy.
abstract: OBJECTIVE
  To evaluate a modification of the Miya hook in performing vaginal sacrospinous ligament fixation.
  
  
  METHODS
  The modification was performed in over 50 patients. It involves placing the needle through the ligament unloaded; then the hook is back-threaded with the appropriate suture. The hook is then withdrawn, bringing the suture with it.
  
  
  RESULTS
  There were no complications as a result of this modification. The technique was faster, used fewer instruments and obviated fraying of the suture. It could also be adapted when retrieving the suture when the classic technique proved difficult.
  
  
  CONCLUSIONS
  The ease of this modification should promote the use of this instrument in performing vaginal sacrospinous ligament fixation.
authors.affiliation: Department of Obstetrics and Gynecology, University of California, Los Angeles Harbor/UCLA Medical Center, School of Medicine, Torrance, USA.
authors.forename: T F
authors.initials: TF
authors.lastname: Mattox
authors.forename: T
authors.initials: T
authors.lastname: Kelly
authors.forename: N N
authors.initials: NN
authors.lastname: Bhatia
mesh_terms: D004867:Equipment Design; D005260:Female; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D009339:Needles; D013536:Suture Techniques; D013997:Time Factors; D014596:Uterine Prolapse / Q000601:surgery*