A sacrospinous fixation is an operation designed to restore support to the uterus or vaginal vault in women who has had a hysterectomy.
Sacrospinous ligament fixation. The apex of the vagina is affixed with two sutures to the right sacrospinous ligament. The ischial spine is depicted with the pudendal neurovascular bundle (nerve, artery, vein) in close proximity to the ischial spine. This procedure may be performed unilaterally or bilaterally (attaching to both sacrospinous ligaments) with one or more permanent or delayed absorbable sutures.