Sacrospinous Fixation: An Efficient Technique for Prevention and Treatment of Vault Prolapse

International Journal of Research in Health Sciences,2016,4,3,60-64.
Published:July 2016
Type:Original Article
Author(s) affiliations:

Rajshree dayanand katke, Usha kiran 

M.D.(Obstetrics & Gynecology), FICOG, FMAS, Medical Superintendant, Associate Professor & unit chief, Obstetrics& Gynecology Department, Cama&AlblessHospital,Grant Government Medical College & Sir J. J. Group of Hospitals, Mumbai, Maharashtra, INDIA.


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.

Anatomy of sacrospinous ligament Inclusion criteria