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.)

Biofeedback Mastery

Biofeedback Mastery

Have you ever wondered what Biofeedback is all about? Uncover these unique information on Biofeedback! Are you in constant pain? Do you wish you could ever just find some relief? If so, you are not alone. Relieving chronic pain can be difficult and frustrating.

Get My Free Ebook


Post a comment