A preliminary anatomical basis for dual (uterosacral and sacrospinous ligaments) vaginal vault support at colporrhaphy Dual-balanced vaginal vault support at colporrhaphy

作者：Haylen Bernard T^*; Vu Dzung; Birrell Warwick; Vashevnik Stas; Tse Kelly

来源：International Urogynecology Journal and Pelvic Floor Dysfunction, 2012, 23(7): 879-882.

DOI：10.1007/s00192-011-1633-7

• Dual-vaginal vault support
• Uterosacral ligament
• Sacrospinous ligament
• Colporrhaphy
• Pelvic organ prolapse

This study aims to assess anatomically the likely effects of dual vaginal vault support using the uterosacral (USL) and sacrospinous ligaments (SSL) at colporrhaphy. %26lt;br%26gt;Observations were made from 13 formalinized cadaver hemipelves to determine the vaginal vault support likely to be provided by traction on the (a) USLs and (b) the posterior vaginal vault towards the SSL. %26lt;br%26gt;Traction on the USLs and SSLs both appeared to create a posterior and superior vector of vaginal vault tension, though that on the USLs appeared to be mainly on the anterior vaginal vault (and wall) with that on the SSL seemingly mostly on the posterior vaginal vault (and wall). %26lt;br%26gt;Concomitant USL and SSL traction on the vaginal vault, now technically possible, appears, from these preliminary findings, to give complementary support to the anterior and posterior aspects of the vaginal vault and walls in a similar posterior and superior vector.

• 出版日期2012-7