FIELD: medicine, urogynecology.
SUBSTANCE: one should suture urethrovesical segment and bladder's bottom, suture vesicovaginal fascia and anterior vaginal wall, apply purse-string suture onto overstretched posterior wall and bladder's bottom to provide simultaneous shift of bladder's bottom into area of urovesical sphincter, suture the edges of vesicovaginal fascia with super elastic ligature made of titanium nickelide with sutures at stitch length being about 5-6 mm, distance between sutures being about 5-6 mm both in longitudinal and cross-sectional direction as a netting in area from separated urethral segment up to uterine cervix by capturing lateral walls of urethra, bladder and maintaining muscular-fascial elements up to internal surface of pubic bone arches. The suggested innovation enables to restore normal anatomotopographic position of uterine cervix and bladder's bottom and prevent the relapse of prolapse of anterior vaginal wall and cystocele.
EFFECT: higher efficiency of surgical reconstruction.
4 dwg, 2 ex
