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


METHODS
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.


RESULTS
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.


CONCLUSIONS
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.
Aksakal
Orhan Seyfi
OS
Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.
Ozyer
Sebnem Sen
SS
Güngör
Tayfun
T
Doğanay
Melike
M
Bilge
Umit
U
Mollamahmutoğlu
Leyla
L
D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation*; D006801:Humans; D008022:Ligaments / Q000601:surgery; D008026:Ligation / Q000295:instrumentation; D008875:Middle Aged; D013536:Suture Techniques / Q000295:instrumentation*; D014596:Uterine Prolapse / Q000601:surgery*