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Vaginal apical support: cornerstone of pelvic reconstructive surgery
1Department of Urological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2765, USA.
Abstract:
Proper support of the vaginal apex is necessary to ensure successful reconstruction of pelvic prolapse. The modified McCall culdeplasty provides excellent vaginal apical support while maintaining a physiologic vaginal axis. This technique may be used transabdominally, transvaginally, or laparoscopically.