{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:16:58Z","timestamp":1789172218135,"version":"build-2803163510"},"reference-count":6,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Pelvic organ prolapse (POP) surgery aims to restore apical support while minimizing complications. The Novel Apical Suspension Harvesting UteroSacral tissue (NASHUS) procedure is a minimally invasive technique utilizing the uterosacral ligament (USL) for apical suspension.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Developed through pre\u2010clinical cadaver work and in\u2010vivo evaluation, NASHUS restores anatomy via precise USL mobilization, division, and suturing to apical tissue. Applicable to both hysteropexy and colpopexy, it offers laparoscopic, robotic, and open approaches. This article details surgical methodology, early clinical outcomes, and future innovative studies.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n This article details surgical methodology, early clinical outcomes, and future innovative studies. Additionally, an accompanying video abstract demonstrates in\u2010vivo laparoscopic NASHUS hysteropexy.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n NASHUS presents a native tissue surgical alternative addressing apical prolapse with safety and durability in short term follow up.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1471-0528.18349","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T07:37:51Z","timestamp":1756712271000},"page":"18-23","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["NASHUS<\/scp>\n : A Novel Surgical Approach for Apical Prolapse Repair Using Harvested Internal Ligaments"],"prefix":"10.1111","volume":"133","author":[{"given":"Salwan","family":"Al\u2010Salihi","sequence":"first","affiliation":[{"name":"Pelvic Floor Unit, The Royal Women's Hospital Parkville Victoria Australia"},{"name":"Frances Perry House Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Cameron\u2010Jeffs","sequence":"additional","affiliation":[{"name":"Pelvic Floor Unit, The Royal Women's Hospital Parkville Victoria Australia"},{"name":"Frances Perry House Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mooska","family":"Raoofi","sequence":"additional","affiliation":[{"name":"Pelvic Floor Unit, The Royal Women's Hospital Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,1]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f73729"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-199312000-00015"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2024.03.007"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.17565"},{"key":"e_1_2_11_6_1","first-page":"1","article-title":"Uterosacral Ligament Suspension: A Review","volume":"228","author":"Houlihan S.","year":"2018","journal-title":"European Journal of Obstetrics & Gynecology and Reproductive Biology"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010025\u201006240\u20109"}],"container-title":["BJOG: An International Journal of Obstetrics & Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.18349","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1471-0528.18349","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.18349","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T23:58:16Z","timestamp":1789171096000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.18349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,1]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/1471-0528.18349"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.18349","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,1]]},"assertion":[{"value":"2025-05-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}