Year :
2019
| Month :
November
| Volume :
13
| Issue :
11
| Page :
QD01 - QD03
Full Version
Modified Sacrospinous Colpopexy with Standard Needle and Needle-Holder: Video Presentation
Published: November 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/42610.13264
Manidip Pal, Soma Bandyopadhyay, Ranita Roy Chowdhury
1. Professor and Head, Department of Obstetrics and Gynaecology, College of Medicine and JNM Hospital, WBUHS, Kalyani, West Bengal, India.
2. Professor and Head, Department of Obstetrics and Gynaecology, Katihar Medical College, Katihar, Bihar, India.
3. Assistant Professor, Department of Obstetrics and Gynaecology, College of Medicine and JNM Hospital, WBUHS, Kalyani, West Bengal, India.
Correspondence Address :
Soma Bandyopadhyay,
Tolly Twin, Block C, 2nd Floor, B-1, 327 M G Road, Kabardanga More, (Near Axis
Bank ATM), Kolkata-700104, West Bengal, India.
E-mail: somapb@gmail.com
Abstract
Among the different operations for treatment and prevention of vaginal vault prolapse, sacrospinous colpopexy is the most preferred one. Many devices are used to perform this operation. Unfortunately these devices are not easily available in developing countries. This paper shows an improvisation wherein, to make the operation easier using standard needle and needle-holder, under direct visualisation, a stage 3 POP-Q vault prolapse, patient was operated. Needle was held longitudinally at its middle so that the long axis of the needle and needle-holder were in the same line. (Traditionally, needle is held transversely, hence long axis of needle and needle- holder remains perpendicular to each other). Swag end of the needle touched the needle-holder. This positioning created a smaller diameter at needle-holder tip than the diameter created by the traditional holding. Bite on sacrospinous ligament was from above downwards and forwards which coincided the normal curvature of the needle. Inferiorly, needle came out easily and retrieval was also easy. The sutures were then brought out through the apex of the vault which was tied after posterior vaginal mucosa closure, High-up vaginal vault was seen at the end. Holding the needle longitudinally eases the sacrospinous operation in the narrow operative field.
Keywords
Sacrospinous fixation, Vaginal operation, Vault prolapse
DOI: 10.7860/JCDR/2019/42610.13264
Date of Submission: Aug 06, 2019
Date of Peer Review: Sep 11, 2019
Date of Acceptance: Sep 16, 2019
Date of Publishing: Nov 01, 2019
AUTHOR DECLARATION:
• Financial or Other Competing Interests: No
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS: [Jain H et al.]
• Plagiarism X-checker: Aug 27, 2019
• Manual Googling: Sep 13, 2019
• iThenticate Software: Oct 05, 2019 (10%)
Etymology: Author Origin
|