Mapping out an anatomic zone of safety of the presacral space for sacrocolpopexy suture placement

Safe dissection and suture placement during sacrocolpopexy requires knowledge of critical anatomy in and around the presacral space. Understanding the thickness of the anterior longitudinal ligament (ALL) facilitates judicious suture and mesh placement that may promote durability of prolapse repair while decreasing complications. As minimally invasive approaches become the preferred route, the impact of reduced haptic feedback to aid in suture location has been more apparent. Although prior investigations have described the thickness in the craniocaudal orientation, few have studied the lateral relationship.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Source Type: research