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International Urogynecology Journal

Published in:

01-09-2010 | Original Article

Surgical anatomy of the uterosacral ligament

Authors: Dzung Vu, Bernard T. Haylen, Kelly Tse, Annabelle Farnsworth

Published in: International Urogynecology Journal | Issue 9/2010

Abstract

Introduction and hypothesis

This study aims to elucidate and expand current knowledge of the uterosacral ligament (USL) from a surgical viewpoint.

Methods

Studies were performed on 12 unembalmed cadaveric pelves and five formalin-fixed pelves.

Results

The USL, 12–14-cm long, can be subdivided into three sections: (1) distal (2–3 cm), intermediate (5 cm), and proximal (5–6 cm). The thick (5–20 mm) distal section, attached to cervix and upper vagina, is confluent laterally with the cardinal ligament. The proximal section is diffuse in attachment and generally thinner. The relatively unattached intermediate section is wide, and thick, well defined when placed under tension, more than 2 cm from the ureter and suitable for surgical use. The strength of the USL is perhaps derived not only from the ligament itself, but also from the addition of extraperitoneal connective tissue.

Conclusions

The USL can be subdivided into three sections according to thickness and attachments with the intermediate section suitable for surgical use, particularly for vaginal vault support.

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Title: Surgical anatomy of the uterosacral ligament
Authors: Dzung Vu
Bernard T. Haylen
Kelly Tse
Annabelle Farnsworth
Publication date: 01-09-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 9/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1147-8

At a glance: The STEP trials

Springer Medicine

Surgical anatomy of the uterosacral ligament

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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