Sacrospinous Ligament Fixation (SSLF)

The vaginal apex is suspended to the right (or bilateral) sacrospinous ligament via a posterior colpotomy and rectovaginal dissection, providing durable native tissue apical support. One of the two standard native tissue apical repairs; the OPTIMAL trial demonstrated equivalence to uterosacral ligament suspension at 2 years. Associated with a posterior vaginal axis shift that may predispose to anterior compartment recurrence.

Indications

Coming soon.

Technique Overview

Coming soon.

Key Steps

Coming soon.

Outcomes & Evidence

Coming soon.

References

Coming soon.