Research Progress of High Uterosacral Ligament Suspension in the Treatment of Middle Compartment Defect

doi:10.12280/gjfckx.20200493

Abstract

Abstract:

Middle compartment defect seriously affects the quality of life with women, which is a common type of pelvic organ prolapse. At present, clinically surgical approaches for middle compartment defect is numerous, but lack a unified selection standard for surgical methods. High uterosacral ligament suspension is performed by suturing the sacral ligament 1-3 cm above the ischial spine level, suspending the vaginal vault, and reconstructing the pubocervical fascia and the rectovaginal fascia. It has been widely used as a technique that repairs middle compartment defect with autogenic tissues, because it can restore apical support structure better and has less complications, lower reoperation rates and low cost. This article is a review about procedures, therapeutical effect and perioperative situation of different surgical approaches for high uterosacral ligament suspension.

Key words: Pelvis, Visceral prolapse, Vagina, Ligaments, Anatomy, regional, Postoperative period

WANG Qian, XIA Zhi-jun. Research Progress of High Uterosacral Ligament Suspension in the Treatment of Middle Compartment Defect[J]. Journal of International Obstetrics and Gynecology, 2021, 48(2): 213-218.

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