Clinical study of ischia spinous fascia fixation--a new pelvic  reconstructive surgery.
OBJECTIVE
This study aims to introduce a new pelvic reconstructive procedure and assess its safety and efficacy.


METHODS
Anatomic dissection was performed on ten Chinese female cadavers. The fascia 1 cm horizontally lateral to the ischial spine was firm and strong with no major vessels or nerves in the area. Thirty-two patients with stage III uterine prolapse underwent ischial spinous fascia fixation procedure. Objective and subjective results were observed in follow-up evaluations.


RESULTS
No severe complications were observed. The objective success rate was 94% at 1-year follow-up while two patients (6.3%) showed recurrence. There were significant improvements in Aa, Ba, Ap, Bp, and C (p < 0.001) by pelvic organ prolapse quantification. Two patients suffered from lower back pain and right thigh pain, respectively, while three complained a sensation of a foreign body in the vagina.


CONCLUSIONS
As a treatment of vaginal fornix prolapse, ischial spinous fascia fixation is found to be safe and efficacious.
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing 100730, China.
Lan
L
Zhu
Jinghe
J
Lang
Qingxia
Q
Zhang
D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People; D005205:Fascia / Q000502:physiology; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007512:Ischium / Q000033:anatomy & histology; D007564:Japan; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D010388:Pelvis / Q000098:blood supply / Q000294:innervation; D013718:Tensile Strength