Sacrospinous fixation of the prolapsed vagina after the Miyazaki hysterectomy procedure

OBJECTIVE: Implementation of a new surgical method for treatment of vaginal prolapse after hysterectomy. DESIGN: The description of a new surgical method. The results in the first 16 patients. SETTING: Department of Obstetric and Gynecology, Medical Faculty of the Palacký University and University Hospital, Olomouc. METHODS: The description of a new surgical method, pointing out the advantages and possibilities of the use in clinical practice. Presentation of the results in the group of 16 patients treated. CONCLUSIONS: Sacrospinous fixation of vaginal prolapse after hysterectomy sec. Miyazaki is a modification of sacrospinous fixation sec. Amreich-Richter. Contrary to the classical procedure this new method has several advantages. It makes easier the exact placement of the stitches to the sacrospinous ligament which decreases the danger of bleeding often substantially complicating the classical procedure. The procedure requires a special instrument, namely the so called Miyazaki hook. The results in the first 16 patients operated on by this method are presented.