Laparoscopic sacrospinous ligament fixation for uterovaginal prolapse: experience with 93 cases

Introduction and hypothesis The aim of this study was to investigate the technique, efficacy, and safety of laparoscopic sacrospinous ligament fixation (LSSLF) for patients with uterovaginal prolapse. Methods From May 2004 to December 2006, 93 patients underwent LSSLF at Southwest Hospital, Chongqing, China. All patients had either grade 3 or 4 uterovaginal prolapse. The surgical results and complications were evaluated. Results All patients had their surgery completed by LSSLF. The average time for LSSLF was 65 min. The average blood loss was 105 ml. Bladder was injured in four cases (4.3%). The mean follow-up was 18 months. Of the 93 patients, 87 (93.5%) had been cured of their vault or uterovaginal prolapse. Minor postoperative complications were observed. Conclusions LSSLF can be successfully completed in patients with uterovaginal prolapse. It is a safe and effective treatment method for patients with uterovaginal prolapse. A long-term follow-up is necessary to detect therapeutic effect and late complication.