Surgical technique
All procedures were performed through a low transverse or low vertical
incision to harvest a strip of rectus fascia approximately 10cm in
length by 2cm in width. The rectus fascia was either attached to the
anterior vaginal wall or reconstructed in Y configuration and secured to
the anterior and posterior vaginal walls with delayed absorbable or
permanent sutures depending on surgeon preference. The apex of the
rectus fascia strip was attached to the anterior longitudinal ligament
at the sacrum with permanent sutures. The peritoneum was closed over the
exposed length of rectus fascia.