Iliococcygeus and Sacrospinous Vaginal Vault Suspension

Figure 4-2.9 illustrates the proper suture placement for vault suspension to the iliococcygeus muscle and to the sacrospinous ligament. Note the relationship to surrounding structures, notably the pudendal vessels and nerve. During an iliococcygeus vaginal vault suspension, sutures are placed 1 to 2 cm medial and 1 cm inferior to the ischial spine. To suspend the vaginal vault to the sacrospinous ligament, sutures are placed 1 cm medial and 1 cm cepha-lad to the ischial spine to avoid damage to the underlying vessels and nerve.

Figure 4-2.9. Surgical correlates - iliococcygeus and sacrospinous vaginal vault suspension. A, Location of suture placement for sacrospinous ligament fixation. B, Location of suture placement for iliococcygeus vaginal vault suspension. (Reprinted with the permission of The Cleveland Clinic Foundation.)

Figure 4-2.9. Surgical correlates - iliococcygeus and sacrospinous vaginal vault suspension. A, Location of suture placement for sacrospinous ligament fixation. B, Location of suture placement for iliococcygeus vaginal vault suspension. (Reprinted with the permission of The Cleveland Clinic Foundation.)

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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