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Eur J Obstet Gynecol Reprod Biol. 2002 Feb 10;101(1):74-8.

Anatomical landmarks regarding sacrospinous colpopexy operations performed for vaginal vault prolapse.

Author information

  • 1Department of Obstetrics and Gynecology, Faculty of Medicine, Kirikkale University, Ankara, Turkey. nsagsoz@isbank.net.tr

Abstract

AIM:

To investigate the anatomical relationships of the structures and the topographic anatomy of the sacrospinous ligament and validate current anatomic knowledge of this area.

MATERIALS:

Nine embalmed half female cadaver pelvises were dissected to reveal the anatomy of the sacrospinous ligament.

RESULTS:

The average length of the sacrospinous ligament was measured to be 43.04 +/- 6.58 mm. The inferior gluteal complex emerges from the infrapiriform foramen at a distance of 17.02 +/- 3.08 mm from the ischial spine and courses to inferior-laterally with a slight curve. During this course, it passes close to the upper-lateral half of the sacrospinous ligament. The pudendal complex passes above the spine in six of the nine cases (66.6%) and lies maximum of 5.5 mm medial to the spine. On average the sciatic nerve is measured to be 25.14 +/- 3.94 mm lateral to the ischial spine.

CONCLUSION:

Placing the suture inferomedially and close to sacrum, the risk of complication will be minimal.

PMID:
11803104
[PubMed - indexed for MEDLINE]
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