LAPAROSCOPY METHOD FOR TREATING THE CASES OF FALLING OF THE WOMB AND COLPOPTOSIS AGGRAVATED WITH URINARY EXERTIONAL INCONTINENCE Russian patent published in 1999 - IPC

FIELD: medicine. SUBSTANCE: method involves forming extraperitoneal canals from pubis to sacrouterine ligaments on both sides under laparoscopy control. Flaps produced from synthetic undegradable material are brought through the canals. Distal ends of the flaps are brought close to the sacrouterine ligaments and attached to them 5-7 mm away from the uterine body. Retzius space and lateral space on both sides of the uterine neck are opened. Medical glue is introduced in the amount of 0.4-0.6 ml. Then, the anterior wall of the vagina is pressed against posterior pubic surface. Douglas cavity is closed by suturing the sacrouterine ligaments, anterior wall of the rectum and posterior wall of the vagina. Proximal ends of the flaps are drawn for the uterine to assume the natural physiological position. The flap ends are sutured to one another. Colporrhaphy is carried out. EFFECT: lower risk of traumatic complications. 2 cl