Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Harbor UCLA Medical Center, Carson St., Torrance, California 90509–2910, USA.
Curr Opin Obstet Gynecol. 2011 Oct;23(5):391-5. doi: 10.1097/GCO.0b013e32834ac743.
To examine the sacrospinous ligament as a point of attachment for pelvic organ prolapse procedures, including vaginal mesh kits.
Pelvic surgeons are increasingly employing the sacrospinous ligament as a point of attachment for biologic grafts and synthetic mesh kits during uterovaginal prolapse repairs. These techniques may have introduced a novel set of complications (mesh extrusion, erosion) in addition to those already known to occur in traditional sacrospinous ligament fixations. Except for limited short-term results, little data are available in the literature regarding surgical outcomes and complications for mesh and graft augmented repairs attached to the sacrospinous ligament.
The sacrospinous ligament fixation is a well tolerated and effective procedure for suspension of the vaginal apex. Mesh augmentation using the sacrospinous ligament may improve objective prolapse recurrence, but complications still occur, including those specific to mesh placement.
探讨骶棘韧带作为盆腔器官脱垂手术（包括阴道网片修复术）的固定点。
盆腔外科医生越来越多地将骶棘韧带作为生物移植物和合成网片修复术在阴道子宫脱垂修复中的附着点。这些技术除了传统骶棘韧带固定术已知的并发症（网片突出、侵蚀）外，还可能引入了一组新的并发症。除了有限的短期结果外，文献中几乎没有关于网片和移植物增强修复附着在骶棘韧带上的手术结果和并发症的数据。
骶棘韧带固定术是一种可耐受且有效的阴道顶端悬吊术。骶棘韧带网片增强术可能改善客观脱垂复发，但仍会发生并发症，包括网片放置特有的并发症。
