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International Urogynecology Journal

Published in:

01-03-2012 | Original Article

Anterior sacrospinous ligament fixation associated with paravaginal repair using the Pinnacle™ device: an anatomical study

Authors: Mélanie Cayrac, Vincent Letouzey, Idir Ouzaid, Pierre Costa, Vincent Delmas, Renaud de Tayrac

Published in: International Urogynecology Journal | Issue 3/2012

Abstract

Introduction and hypothesis

The objective of this paper is to study the reproducibility and anatomical risks of anterior sacrospinous ligament (SSL) fixation associated with paravaginal repair using the Pinnacle™ device (Boston Scientific™).

Methods

Simplified bilateral anterior SSL fixation associated with paravaginal fixation through the arcus tendineus fascia pelvis (ATFP) was performed on five fresh cadavers using the Pinnacle™ device. Cadaver dissection was then performed by open pelvic surgery.

Results

Eight SSL and ten ATFP were available for analysis. SSL fixations were optimal in four cases, too superficial in three cases, and too high in one case. Mean distance between SSL fixation and ischial spine was 18.6 mm (range 10 to 30 mm). Mean distance between SSL fixation and pudendal nerve was 6.5 mm (range 0 to 15 mm). ATFP fixations were optimal in five cases, good in four cases, and too superficial in one case. In one case (10%), the middle arm of the prosthesis was in contact with the ureter and traction on that arm resulted in ureteral kinking.

Conclusions

Anterior SSL fixation associated with paravaginal repair using the Pinnacle™ device was not reproducible every time in this cadaver study. These results confirm the need for specific training before starting anterior SSL fixations.

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Title: Anterior sacrospinous ligament fixation associated with paravaginal repair using the Pinnacle™ device: an anatomical study
Authors: Mélanie Cayrac
Vincent Letouzey
Idir Ouzaid
Pierre Costa
Vincent Delmas
Renaud de Tayrac
Publication date: 01-03-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 3/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1554-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Anterior sacrospinous ligament fixation associated with paravaginal repair using the Pinnacle™ device: an anatomical study

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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