Anatomical and Mechanical Safety of the Tissue Anchoring System (TAS®) for Sacrospinous Ligament Fixation

This study investigates the anatomical and mechanical safety of the Tissue Anchoring System (TAS®) for sacrospinous ligament fixation (SSLF) in pelvic organ prolapse repair, aiming to evaluate its safety margins and fixation strength when used by both expert and novice surgeons. The results indicate that the majority of TAS® placements were safely distanced from critical neurovascular structures, with a mean pull-out strength significantly exceeding the safety threshold. Overall, the findings suggest that TAS® provides a reliable and strong fixation option, although proper anatomical training remains crucial for its clinical application.