title: Midline uterosacral plication anterior colporrhaphy combo (MUSPACC): preliminary surgical report.
abstract: OBJECTIVE
  the objective of this study is to examine the surgical safety and early efficacy of the midline uterosacral (ligament) plication anterior colporrhaphy (MUSPACC) procedure.
  
  
  METHODS
  a retrospective review of the perioperative data of 41 women who had undergone an MUSPACC procedure without any other vaginal vault supportive procedure was performed.
  
  
  RESULTS
  the MUSPACC procedure can be performed comfortably through a single midline anterior vaginal wall incision, providing concomitant levels 1 and 2 support at anterior colporrhaphy. The procedure is safe and relatively quick (median 23 min) with consistent access to the intermediate section of the uterosacral ligament. Blood loss is generally minimal to small. Dissection is relatively limited. The ureters (2 cm or more lateral) are not deemed to be at risk. Short-term anatomical results are promising. There was no significant change in vaginal length.
  
  
  CONCLUSIONS
  the MUSPACC procedure is safe, relatively quick, and free of significant bleeding. It provides concomitant levels 1 and 2 vaginal support.
authors.affiliation: University of New South Wales, Kensington, New South Wales, Australia. haylen@optusnet.com.au
authors.forename: Bernard T
authors.initials: BT
authors.lastname: Haylen
authors.forename: Vivian
authors.initials: V
authors.lastname: Yang
authors.forename: Dzung
authors.initials: D
authors.lastname: Vu
authors.forename: Kelly
authors.initials: K
authors.lastname: Tse
mesh_terms: D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D020884:Colpotomy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008022:Ligaments / Q000601:surgery; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome