FIELD: medicine, urogynecology.
SUBSTANCE: one should suture urethrovesical segment and bladder's bottom, suture vesicovaginal fascia, 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, apply and fix netting out of titanium nickelide between restored posterior urethral wall, bladder and vesicovaginal fascia modeled according to the site of application within the borders against separated urethral segment up to uterine cervix by capturing lateral walls of urethra, bladder and maintaining muscular-fascial formations 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
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Authors
Dates
2005-10-20—Published
2004-03-01—Filed