High midline levator myorrhaphy for vault prolapse repair

Yuefeng Rose Wu; Philippe E. Zimmern

doi:10.1007/978-3-319-45268-5_11

High midline levator myorrhaphy for vault prolapse repair

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

High midline levator myorrhaphy (HMLM), first described in 1988, is a vaginal surgery for vault prolapse (VP) that does not rely on mesh interposition, avoids the inherent difficulties associated with sacrospinous ligament fixation (SSLF) involving nearby vascular and neural structures, and is well-suited for middle-aged to older women [1]. Unlike the SSLF [2, 3], HMLM keeps the vagina midline, and unlike the uterosacral ligament (USL) fixation [4], HMLM can be done many years after hysterectomy when the uterosacral ligaments are no longer readily identifiable. Since its original report, there have been few published series on surgical outcomes [1, 5], none of which included long-term data. We review the technique of this procedure in detail and provide an update on our long-term experience with this technique.

Original language	English (US)
Title of host publication	Native Tissue Repair for Incontinence and Prolapse
Publisher	Springer International Publishing
Pages	151-157
Number of pages	7
ISBN (Electronic)	9783319452685
ISBN (Print)	9783319452661
DOIs	https://doi.org/10.1007/978-3-319-45268-5_11
State	Published - Jan 1 2017

Keywords

Long term follow-up
Recurrence
Surgical repair
Vault prolapse

ASJC Scopus subject areas

General Medicine

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10.1007/978-3-319-45268-5_11

Cite this

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abstract = "High midline levator myorrhaphy (HMLM), first described in 1988, is a vaginal surgery for vault prolapse (VP) that does not rely on mesh interposition, avoids the inherent difficulties associated with sacrospinous ligament fixation (SSLF) involving nearby vascular and neural structures, and is well-suited for middle-aged to older women [1]. Unlike the SSLF [2, 3], HMLM keeps the vagina midline, and unlike the uterosacral ligament (USL) fixation [4], HMLM can be done many years after hysterectomy when the uterosacral ligaments are no longer readily identifiable. Since its original report, there have been few published series on surgical outcomes [1, 5], none of which included long-term data. We review the technique of this procedure in detail and provide an update on our long-term experience with this technique.",

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AU - Zimmern, Philippe E.

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High midline levator myorrhaphy for vault prolapse repair

Abstract

Keywords

ASJC Scopus subject areas

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