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https://www.uptodate.com/contents/pelvic-organ-prolapse-in-women-surgical-repair-of-apical-prolapse-uterine-or-vaginal-vault-prolapse
Support of the vaginal apex is primarily derived from the integrity of the uterosacral and cardinal ligaments, the continuity of the endopelvic fascia, and a neuromuscularly intact levator ani muscle . The etiology of apical prolapse is likely related to connective tissue, neural, and/or muscular defects in these normal supports.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2797308/
The interaction between pubovisceral muscle defect and apical support impairment is shown in the bottom row (Figure 3e and 3f). When the apical support impairment was superimposed on the pubovisceral muscle impairment there was a loss of resistance to the descent of apical anterior vaginal wall, resulting in a much larger prolapse.Cited by: 181
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258694/
Introduction. Apical support for the uterus and upper vagina is provided by the cardinal (CL) and uterosacral (USL) ligaments [].These ligaments are critical in pelvic organ prolapse (POP) as, in addition to apical prolapse, they are strongly related to anterior vaginal wall descent [2, 3]; the most common form of POP being present in 83–87 % cases [].Cited by: 81
https://www.sciencedirect.com/science/article/pii/S0002937816307852
Definitions of apical vaginal support loss: systematic review. Am J Obstet Gynecol 2017. a. Two comparators were used in this study, which evaluated referent procedure (sacrospinous fixation) to posterior intravaginal slingplasty or sacrocolpopexy with 7 patients in each treatment arm. b.Cited by: 8
https://www.wesleyobgyn.com/pdf/lectures/surgical_repair_vaginal_apex.pdf
Apical Care agency ltd offers excellent care services for both residential and Community settings. We provide fully trained and experienced health care assistants and support workers to offer support to individuals with care and support needs both in residential settings and at home.
https://www.sciencedirect.com/science/article/pii/S0002937817308529
Background. Apical vaginal support is considered the keystone of pelvic organ support. Level I evidence supports reestablishment of apical support at time of hysterectomy, regardless of whether the hysterectomy is performed for prolapse.Cited by: 7
https://www.researchgate.net/publication/5684990_The_Role_of_Apical_Vaginal_Support_in_the_Appearance_of_Anterior_and_Posterior_Vaginal_Prolapse
To describe how simulated apical support affects the appearance of prolapse in the anterior and posterior vagina using a modification of the Pelvic Organ Prolapse Quantification (POP-Q) examination.
http://journals.lww.com/jpelvicsurgery/Abstract/2017/11000/Trends_in_Hysteropexy_and_Apical_Support_for.3.aspx
Objectives: Our objective was to describe trends in hysteropexy and apical support for uterovaginal prolapse (UVP) from 2002 to 2012 in the United States. We identified patient and hospital variables associated with hysteropexy and apical support.
https://clinicaltrials.gov/ct2/show/NCT03421067
Apical Support During Hysterectomy for Pelvic Organ Prolapse-NSQIP Analysis. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government.
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