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Original article by Bruce farnsworth
Centre for Pelvic Reconstructive Surgery, Sydney Adventist Hospital, Wahroonga (Australia)

Posterior IVS for vault suspension: A re-evaluation



Fig 1: Patient Characteristics.

 

Coronal section of female erectile tissue

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.



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Fig. 2. – Tape used in posterior IVS procedure.


Coronal section of female erectile tissue

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.

 

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