Neurovascular anatomy of the sacrospinous ligament region in female cadavers: Implications in sacrospinous ligament fixation.

Neurovascular anatomy of the sacrospinous ligament region in female cadavers: Implications in sacrospinous ligament fixation. Research Abstract Details 

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Neurovascular anatomy of the sacrospinous ligament region in female cadavers: Implications in sacrospinous ligament fixation. Abstract Text:

Shayzreen M Roshanravan,Cecilia K Wieslander,Joseph I Schaffer,Marlene M Corton,Shayzreen M Roshanravan,Cecilia K Wieslander,Joseph I Schaffer,Marlene M Corton,

OBJECTIVE: The objective of the study was to further characterize the anatomy of the coccygeus muscle-sacrospinous ligament (C-SSL) complex and to correlate the findings with sacrospinous ligament fixations (SSLF). STUDY DESIGN: Dissections were performed in 21 female cadavers. RESULTS: In all dissections, nerves originating from S3, S4, S5, or a combination passed over the anterior surface of the C-SSL at its midsegment, and either the pudendal or third sacral nerve coursed on the superior border of C-SSL at its midpoint. In 100% of specimens, the internal pudendal artery (IPA) passed behind or just medial to the ischial spine. The average distance of the inferior gluteal artery (IGA) from the ischial spine and the superior border of the C-SSL was 24.2 (range, 15-35) mm and 3.4 (range, 1-5) mm, respectively. CONCLUSION: Nerves to the coccygeus and levator ani coursed over the midportion of the C-SSL where SSLF sutures are placed. The pudendal nerve and IGA were in proximity to the superior border of the C-SSL at its midportion, whereas the IPA passed behind the ischial spine, lateral to the recommended site for suture placement.

Neurovascular anatomy of the sacrospinous ligament region in female cadavers: Implications in sacrospinous ligament fixation. Publishing Authors By Initials

SM Roshanravan,CK Wieslander,JI Schaffer,MM Corton,SM Roshanravan,CK Wieslander,JI Schaffer,MM Corton,

For similar body regions: back: sacrococcygeal region research abstracts see: body regions: back: sacrococcygeal region research

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Neurovascular anatomy of the sacrospinous ligament region in female cadavers: Implications in sacrospinous ligament fixation. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: American journal of obstetrics and gynecology

VOLUME: 197

Page Numbers: 660.e1-6

Journal Abbreviation: Am. J. Obstet. Gynecol.

ISSN: 1097-6868

DAY: 18

MONTH: Dec

YEAR: 2007

Neurovascular anatomy of the sacrospinous ligament region in female cadavers: Implications in sacrospinous ligament fixation. Information

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LANGUAGE: eng

NlmUniqueID: 370476

Neurovascular anatomy of the sacrospinous ligament region in female cadavers: Implications in sacrospinous ligament fixation. Keywords Mesh Terms:

KEYWORDS: Sacrococcygeal Region

MESH TERMS: innervation

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Grant and Affiliation Information for Neurovascular anatomy of the sacrospinous ligament region in female cadavers: Implications in sacrospinous ligament fixation.

AFFILIATION: Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Country: United States

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MEDLINETA: Am J Obstet Gynecol

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