The autologous vaginal patch plastron associated with the anterior sacrospinous ligament fixation for the treatment of anterior and apical pelvic organ prolapse: Technical note with video demonstration
Open accessAbstract
Following transvaginal mesh interdiction, native tissue repair (NTR) emerged as the standard surgical approach for anterior pelvic organ prolapse (POP) requiring vaginal intervention, despite high recurrence rates with traditional methods. This study presents a novel NTR technique combining vaginal patch plastron (VPP) with anterior sacrospinous ligament fixation (SSLF-A) to address anterior and apical POP. Incorporating apical suspension during anterior repair reduces recurrence compared to non-apical procedures. The VPP technique involves creating a vaginal strip on the anterior colpocele, suspended bilaterally to the sacrospinous ligament (SSL) and arcus tendineus fasciae pelvis, secured with non-absorbable sutures. It can be paired with SSL hysteropexy or vault suspension for comprehensive support. Early results suggest enhanced anatomical stability and reduced relapse risk by addressing multicompartmental defects through a single vaginal approach. While demonstrating procedural safety and feasibility, further comparative studies are needed to evaluate this approach against existing techniques for advanced anterior-apical prolapse.
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Variations in repair techniques for the anterior and posterior compartments may further influence these results.
“Moreover, variations in the repair techniques for the anterior and posterior compartments may further influence these results [34–37”
From The uterus debate in vaginal native tissue repair for pelvic organ prolapse: Hysteropexy versus hysterectomy – A systematic review and meta-analysis (2025) · cites this paper as [34]
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Self-citationThe transvaginal mesh: an overview of indications and contraindications for its use
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Self-citationHow we do an anterior sacrospinous ligament fixation for vaginal vault prolapse
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Ruffolo, A. F., Salvatore, S., Torella, M., Frigerio, M., Soligo, M., Rubod, C., Lallemant, M., Cosson, M., Serati, M., & Braga, A. (2025) · Maturitas · doi:10.1016/j.maturitas.2025.108755 · Cited by 2 · see citing works
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- Authors
- Ruffolo, A. F., Lallemant, M., Barrieux, A., Rubod, C., & Cosson, M.
- Affiliations
- Centre Hospitalier Universitaire de Lille (FR)
- Corresponding author
- Ruffolo, Alessandro Ferdinando
- Venue
- Journal of Gynecology Obstetrics and Human Reproduction
- Publisher
- Elsevier BV
- Published
- 2025-09
- Volume
- 54
- Issue
- 7
- Pages
- 102975
- ISSN
- 2468-7847 (ISSN-L)
- OpenAlex
- W4410384349
- Cited by
- 1
- References
- 14
- Citations by year
- 2025: 1
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Gynecology Obstetrics and Human Reproduction (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Keywords
- anterior pelvic organ prolapse, apical pelvic organ prolapse, native tissue repair, sacrospinous hysteropexy, prolapse recurrence
- MeSH terms
- Female, Humans, Ligaments, Gynecologic Surgical Procedures, Surgical Mesh, Vagina, Pelvic Organ Prolapse
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