Cadaveric Nerve and Artery Proximity to Sacrospinous Ligament Fixation Sutures Placed by a Suture-Capturing Device

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(Abstracted from Obstet Gynecol 2017;130:1033–1038)A common choice for apical suspension is use of sacrospinous ligament fixation procedures, in which the vaginal vault is anchored to the ligament. There is no consensus on the recommended number and placement of sutures during the fixation procedure; placement varies from the lateral third of the sacrospinous ligament close to the ischial spine and as far away medially as 4 cm.

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