Evidence map›Paper›PMID 42689182›Full record

ArticleInternational journal of women's health2026

A Pilot Study of Kocher Forceps-Guided Laparoscopic Transvaginal Sacrospinous Ligament Fixation: Technique and Initial Clinical Experience.

Bai Xue, Xiaoyan Huang, Ying Zhou, Qian Zhu

Abstract read
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Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Bai Xue *Department of Gynecology and Obstetrics, Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, Jiangsu, 211100, People's Republic of China.
Xiaoyan Huang *Department of Gynecology and Obstetrics, Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, Jiangsu, 211100, People's Republic of China.
Ying ZhouDepartment of Gynecology and Obstetrics, Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, Jiangsu, 211100, People's Republic of China.
Qian ZhuDepartment of Gynecology and Obstetrics, Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, Jiangsu, 211100, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Traditional transvaginal sacrospinous ligament fixation (SSLF) relies on palpation for suture placement under limited visualization. We developed a Kocher forceps-guided laparoscopic transvaginal SSLF technique that enables real-time laparoscopic visualization during suturing and eliminates the need for specialized transvaginal natural orifice transluminal endoscopic surgery (vNOTES) access platforms and insufflation. This study presents this novel technique and reports our initial clinical experience. Methods: Ten consecutive patients with pelvic organ prolapse (POP) who underwent this procedure at the Affiliated Jiangning Hospital of Nanjing Medical University between November 2024 and July 2025 were included. After opening the rectovaginal and right pararectal spaces, the sacrospinous ligament was identified by palpating the ischial spine. The surgeon then grasped the target site with a Kocher forceps and placed the suture under direct laparoscopic visualization. Demographic, preoperative, intraoperative, postoperative, and follow-up data were evaluated. Results: Ten postmenopausal women with stage III-IV POP successfully underwent the procedure. Median age was 64 years (range, 54-71), and median body mass index (BMI) was 24.30 kg/m Conclusion: The Kocher forceps-guided laparoscopic transvaginal SSLF appears to be a feasible and safe surgical approach for POP in this small case series.

Indexed as

Kocher forcepslaparoscopic transvaginal surgerypelvic organ prolapsesacrospinous ligament fixationsurgical technique

Identifiers

PMID42689182
PMCPMC13537171

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.