Sacrospinofixation of Richter in 8 points: original contribution of the laparoscopic column in the visualization of the sacrospinous ligaments

Although the standard technique is currently based on laparoscopic promontofixation, the standard vaginal technique for the treatment of uterine prolapse is sacrospinofixation according to Richter [1 –3]. Described by Kurt Richter in 1968, this intervention corrects the middle floor and consists of fixing the vaginal dome (after hysterectomy or not) on the sacrospinous ligament(s) [4,5]. The technique includes a wide dissection of the pararectal fossa, using several Breisky's valves, to grip t he sacrospinous ligament under strict visual control.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Source Type: research