Korean J Obstet Gynecol.  1997 Nov;40(11):2626-2630.

The 2 Cases of the Sacrospinous Ligament Fixation for the Massive Eversions of the Vagina after Total Abdominal Hysterectomy

• Nam KH
• Choi KJ
• Lee JJ
• Lee HH
• Lee KH

Abstract

Massive eversion of the vagina is one of the most disturbing disorders confronting a woman. It is a complex disorder that always surgical, and all defects. The managements is always surgical, and all defects must be repaired concomitantly. Current surgical practice relies primarily on the strength of the endopelvic fascia and certain ligaments. Massive eversion of the vagina can be treated by a variety of transvaginal and transamdominal surgical technique. In most instances a transvaginal approach is useful. If strong cadinal and uteroscral support in not available fiocation of the vginal vault to the sacrospinous ligment is useful. In 1987, Miyazaki introduced his Miya Hook ligature carrier. With this instrume nt, introduction of the needle became safer and easier than with the Deschamp aneurysm needle. We had experienced two cases of massive eversion of vagina after the total abdominl hyst erectomy who were treated succesfully with sacrospinous ligement fixation by using Miya Hook. We report above two cases and review briefly.

Keyword

Vaginal vault prolapse(eversion); Sacrospinous ligament suspension; Miya hook

MeSH Terms

Aneurysm
Fascia
Female
Humans
Hysterectomy*
Ligaments*
Ligation
Needles
Vagina*