What is a sacrospinous Hysteropexy?

What is a sacrospinous Hysteropexy?

A sacrospinous hysteropexy involves supporting the uterus using stitches to fix it to a strong ligament inside the pelvis. The operation is performed through the vagina and is often performed at the same time as other prolapse operations such as anterior and posterior repair.

What is sacrospinous colpopexy?

Sacral colpopexy, also known as sacrocolpopexy or sacrospinous colpopexy, is a surgical procedure used to correct pelvic organ prolapse in women. When the muscles around a woman’s pelvis weaken, the pelvic organs can prolapse (slide out of place). This creates a bulge in the vagina.

What is sacrospinous?

A sacrospinous ligament suspension is a surgical procedure to restore the support of the top of the vagina, most commonly after hysterectomy. It can be performed at the same time as a hysterectomy, or later on in life in women who have previously undergone a hysterectomy.

What is sacrospinous ligament fixation?

Vaginal vault suspension, also called sacrospinous fixation, involves stitching the top of the vagina to the sacrospinous ligament, which is situated near the tail bone. The effect of this is to support the vagina, restoring it to its normal position and preventing it from prolapsing.

What is posterior repair?

A posterior repair involves repairing the weakened connective tissue which lies underneath the back wall of the vagina, between the vagina and the rectum. The repair is performed through a cut in the back wall of the vagina and uses dissolvable stitches. The aim of the operation is to get rid of the prolapse bulge.

What is a colpopexy procedure?

Sacral colpopexy is a surgery used to repair pelvic organ prolapse. This is a condition where your pelvic organs, such as your vagina and uterus, sag or fall out. Sacral colpopexy treats pelvic organ prolapse by putting your organs back where they should be.

What does the sacrospinous ligament do?

Function. The sacrospinous and sacrotuberous ligaments assist in pelvic stability. The ligament works with the sacrotuberous ligament to prevent rotation of the illum past the sacrum thus preventing excessive twisting of the pelvis, low back pain, and SIJ strain.

How is Colpocleisis done?

Colpocleisis is a type of obliterative surgery. The surgeon sews together the front and back walls of the vagina to shorten the vaginal canal. This prevents the vagina walls from bulging inward, and provides support to hold up the uterus. Reconstructive surgery is often performed through incisions in the abdomen.

What is ligament fixation?

Sacrospinous ligament fixation (SSLF) is a commonly used transvaginal procedure used to correct apical pelvic organ prolapse (POP). The technique utilizes the sacrospinous ligaments to suspend the vagina in patients who have uterovaginal prolapse or apical vaginal prolapse after hysterectomy.

How is a colpopexy performed?

The procedure is usually performed through either an abdominal incision or key hole surgery (laparoscopy or robotic). A piece of synthetic mesh made out of prolene is sewn to the top of the vagina and then to the front of the sacrum. The sacrum is the lower part of the bony spinal column.