Brief Overview about Sacrospinous Ligament Fixation for the treatment of uterine and vaginal vault prolapse

Abstract

Richter was the first to describe the sacrospinous colpopexy for the treatment of vaginal vault prolapse in 1968. Over the years, the procedure gained popularity thanks to the work of Randall and Nichols who introduced the procedure in the United States in 1971. The sacrospinous fixation has evolved from a procedure performed under direct vision with a standard needle requiring extensive dissection, into a blind procedure requiring less extensive dissection with the aid of suture delivery devices. Older instruments used in the technique include the Miya hook and Deschamp clamp. Newer instruments include suture delivery devices like the Caspari, Endostitch, i stitch and the Capio suturing device.