Fig 1: Patient Characteristics.
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Figure 1: Standard sacrospinous attachment. IS = ischial spine, SSL= sacrospinous ligament, S= sacrum. The sacrospinous attachment (Position 1) is at the lateral end of the ligament. |
Fig. 2. – Tape used in posterior IVS procedure.
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| Figure 2: Medial sacrospinous attachment with posterior intravaginal sling restores vaginal axis and length. IS = ischial spine, SSL= sacrospinous ligament, S= sacrum. The apical attachment is independently secured at Position 2 which is much more medial and posterior than the standard sacrospinous attachment at Position 1. The PIVS at position 3 fixes the vaginal vault down and backwards into the sacral concavity. |