Department of Gynecology, Hôpital Femme Mère Enfant, HFME, 59 boulevard Pinel, University hospital of Lyon, 69500 Bron, France; University Claude Bernard of Lyon 1, EMR 3738 CICLY, 69000 Lyon, France.
Department of Gynecology, Hôpital Femme Mère Enfant, HFME, 59 boulevard Pinel, University hospital of Lyon, 69500 Bron, France.
Eur J Obstet Gynecol Reprod Biol. 2024 Jun;297:36-39. doi: 10.1016/j.ejogrb.2024.03.039. Epub 2024 Mar 31.
Sacrospinous fixation is the gold standard procedure for management of apical pelvic organ prolapse by the vaginal route. However, there may be a relevant risk of neurovascular injury due to the proximity of neurovascular structures. We propose an anatomical study concerning the sacrospinous ligament with a new innovative minimally invasive technology using both a suture capturing device and a chip-on-the-tip endoscope to perform sacropinous fixation.
Bilateral sacrospinous fixation was performed in three female cadavers, in the course of the anatomical study conducted with a specific device (the Suture Capturing I Stitch™ Device) under real time visual guidance with a chip-on -the-tip endoscope, the NanoScope™ system.
Identification of ischial spine and sacrospinous ligament as well as feasibility of sacrospinous fixation under NanoScope™ control were always possible on both sides.
This new innovative minimally invasive technology using both a suture capturing device and a chip-on-the-tip endoscope is relevant and could be an advantage in terms of safety and better placement of the suture on the sacrospinous ligament.
经阴道途径治疗子宫顶端盆腔器官脱垂的金标准术式为骶棘固定术。然而，由于其毗邻的神经血管结构，可能存在相关的神经血管损伤风险。我们提出了一项与骶棘韧带相关的解剖学研究，采用一种新的创新微创技术，使用缝线捕获装置和尖端带有芯片的内窥镜进行骶棘固定。
在三名女性尸体中进行双侧骶棘固定，在解剖研究过程中，使用一种特殊的装置（Suture Capturing I Stitch™ 装置）在尖端带有芯片的内窥镜（NanoScope™ 系统）实时视觉引导下进行。
在两侧均能始终实现坐骨棘和骶棘韧带的识别，以及在 NanoScope™ 控制下进行骶棘固定的可行性。
这种使用缝线捕获装置和尖端带有芯片的内窥镜的新创新微创技术是相关的，并且在安全性和骶棘韧带上更好地放置缝线方面可能具有优势。
