Sacrospinous fixation: an efficient technique for prevention and treatment of vault prolapse
A Sacrospinouscolpopexy, introduced by randall and Nichols in 1971, has become a favored method for restoring vaginal support in women with vault prolapse, massive eversion of the vagina and procidentia. Defects in apical vaginal support are crucial to recognize and address when undertaking surgery for prolapse. The upper third of the vagina (level i) is suspended from the pelvic walls by vertical fibers of the paracolpium, which is a continuation of the cardinal ligament.
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