To Study the Effectiveness of Using Suture Passer in Sacrospinous Vault Fixation Surgery.

Background: Pelvic organ prolapse (POP) is a prevalent condition characterized by the descent of pelvic organs due to the weakening of connective tissue and muscles. Sacrospinous ligament fixation (SSLF) is an established surgical technique for managing apical prolapse. This study evaluates the effectiveness of using a suture passer device in SSLF to enhance surgical outcomes.

Materials And Methods: This prospective study was conducted in the Department of Obstetrics and Gynecology, MGM Medical College, over 1 year, including 50 patients with vault prolapse or stage 3 and 4 POP. Patients underwent vaginal hysterectomy with sacrospinous vault fixation or sacrospinous vault fixation alone. Parameters assessed included operative time, complications, and postoperative pain levels measured using a numerical pain scale.

Results: The mean operative time was 9.88 ± 3.61 minutes. Postoperative pain levels significantly decreased over time, with mean scores of 3.80 ± 0.70 on day 1, 1.84 ± 0.79 on day 7, and 0.09 ± 0.29 at 6 months ( < .01). Among participants, 88% presented with vaginal mass, 82% were menopausal, and hypertension was the most common comorbidity (14%). Minimal intraoperative complications were reported, and the suture passer facilitated faster surgical procedures with reduced trauma.

Conclusion: Using a suture passer in SSLF is an effective technique for managing apical prolapse, offering reduced operative time, minimal complications, and significant postoperative pain relief. This method demonstrates promise in improving surgical efficiency and patient outcomes in prolapse management.