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Title of Journal: Int Urogynecol J

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Abbravation: International Urogynecology Journal

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Springer London

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DOI

10.1016/0143-4160(95)90017-9

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1433-3023

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Apical sling an approach to posthysterectomy vaul

Authors: Alexandriah N Alas Ines Pereira Neeraja Chandrasekaran Hemikaa Devakumar Luis Espaillat Eric Hurtado G Willy Davila
Publish Date: 2016/04/06
Volume: 27, Issue: 9, Pages: 1433-1436
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Abstract

This was a retrospective review of apical sling procedures performed from July 2013 to November 2014 The technique is started by marking the vaginal apex A posterior dissection is performed and the sacrospinous ligaments are identified after dissection into the pararectal space A 10cm piece of monofilament inelastic polypropylene tape is attached to the underside of the vaginal apex Polypropylene sutures are placed into the sacrospinous ligament and threaded though the lateral edges of the apical sling and tied down restoring apical support Finally the vaginal epithelium is closedA total of 67 women underwent an apical sling procedure with 70  47/67 completing 6 months followup The subjective cure rate “cured” or “greatly improved” was 787  and the objective cure rate anatomical success defined as apical prolapse stage ≤1 was 100  47 patientsThe online version of this article doi 101007/s001920163010z contains supplementary material This video is also available to watch on http//linkspringercom/ Please search for this article by the article title or DOI number and on the article page click on ‘Supplementary Material’GW Davila received an honorarium from American Medical Systems and CL Medical He also is a consultant for American Medical Systems and received research funding through Coloplast The other authors have no disclosures or conflicts of interest to declare

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