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

Nam, Kae Hyun; Choi, Kyung Jun; Lee, Jeong Jae; Lee, Hae Hyeog; Lee, Kwon Hae

Case Report

Korean Journal of Obstetrics & Gynecology 1997;40(11):2626-2630.
Published online January 1, 2001.

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

Kae Hyun Nam, Kyung Jun Choi, Jeong Jae Lee, Hae Hyeog Lee, Kwon Hae Lee

Department of Obstetrics and Gynecology, College of Medicine, Soonchunghyang University, Seoul, Korea.

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.

Key Words: Vaginal vault prolapse(eversion), Sacrospinous ligament suspension, Miya hook