Evidence map›Paper›PMID 29242957›Full record

ArticleInternational urogynecology journal2018

Transvaginal levator myorrhaphy for posthysterectomy vaginal vault prolapse repair.

Rodolfo Milani, Stefano Manodoro, Alice Cola, Stefania Palmieri, Matteo Frigerio

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Article in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
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  4. National Survey on the Management of Genital Prolapse in Italy.International journal of women's health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Rodolfo MilaniUniversity of Milano-Bicocca, Milan, Italy.
Stefano ManodoroU.O. Ostetricia e Ginecologia, AUSL della Romagna - Ospedale Infermi, Viale Luigi Settembrini 2, 47923, Rimini, RN, Italy. stefano.manodoro@gmail.com.ORCID http://orcid.org/0000-0002-1837-0806
Alice ColaUniversity of Milano-Bicocca, Milan, Italy.
Stefania PalmieriUniversity of Milano-Bicocca, Milan, Italy.
Matteo FrigerioASST Monza, Ospedale San Gerardo, Monza, Italy.
Azienda Ospedaliera San Gerardo · ITOspedale Infermi di Rimini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisPosthysterectomy vaginal vault prolapse repair represents a surgical challenge. Surgical management can be successfully achieved with native-tissue repair through levator myorrhaphy. Despite low morbidity, levator myorrhaphy is not a common procedure. The aim of the video is to provide anatomic views and surgical steps necessary to achieve a successful transvaginal levator myorrhaphy for vaginal vault prolapse repair.

methodsA 72-year-old woman with symptomatic stage IV vaginal vault prolapse was admitted for transvaginal levator myorrhaphy according to the described technique.

resultsSurgical repair was successfully achieved without complications. The final examination revealed good apical support and preservation of vaginal length. This step-by-step video tutorial may represent an important tool to improve surgical know how.

conclusionsTransvaginal levator myorrhaphy provides an alternative technique for apical support without using prosthetic materials. This technique can be indicated when abdominal approach or synthetic device are not recommended or when peritoneum opening may be challenging. However, due to its possible constricting effect, it should be reserved to sexually inactive patients.

Indexed as

Hysterectomy, VaginalAgedFemaleGynecologic Surgical ProceduresHumansPelvic Organ ProlapsePregnancyUterusVaginaLevator myorrhaphyNative tissue repairPelvic organ prolapseVideo tutorial

Identifiers

PMID29242957
OpenAlexW2773736867

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.