FIELD: medicine.
SUBSTANCE: method involves separating rectum from right rectovaginal ligament with forefinger and the rectum is moved left. The rectal arches are perforated with the forefinger above the sciatic spine. The sciatic spine is identified. Right sacrospinal ligament area is exposed in medial position with respect to the spine. Free tissues and cellular tissue are displaced. Vaginal stump is fixed on right sacrospinal ligament in medial position 2 cm far from the ischium. To accomplish it, bridge is formed from 1x3 OR 2x4 cm large GyneMESHTM prolene flap. Distal end of the flap attached to the right sacrospinal ligament with nonabsorbable sutures. The vaginal stump is attached to the proximal end with two or three long ligatures manufactured from nonabsorbable suture material. Anterior vaginal wall wound is sutured. The retained ligature ends are tightened.
EFFECT: enhanced effectiveness of treatment irrespective of vagina length; high quality of functional treatment results.
1 dwg
| Title | Year | Author | Number |
|---|---|---|---|
| METHOD FOR TREATMENT OF APICAL ENTEROCELE USING A POLYPROPYLENE IMPLANT | 2022 |
|
RU2791400C1 |
| METHOD OF TRANSVAGINAL SURGICAL PREVENTION OF POST-HYSTERECTOMY PROLAPSE OF VAGINAL VAULT | 2017 |
|
RU2673916C2 |
| METHOD OF SIMULTANEOUS TWO-LEVEL CORRECTION OF ENTEROCELE BY LAPAROVAGINAL ACCESS (VARIANTS) | 2016 |
|
RU2654683C2 |
| METHOD OF TREATING POSTHYSTERECTOMY PROLAPSE USING VAGINAL ANTERIOR APPROACH USING POLYPROPYLENE IMPLANT WITH RESTORATION OF RECTOVAGINAL AND PUBOCERVICAL FASCIA | 2023 |
|
RU2808371C1 |
| METHOD FOR SURGICAL TREATMENT OF VAGINAL ENTEROCELE, RECTOCELE | 2015 |
|
RU2597409C2 |
| METHOD OF TREATING AND PREVENTION OF POSTHYSTERECTOMY PROLAPSE IN EARLIER OPERATED WOMEN | 2010 |
|
RU2446750C2 |
| METHOD OF TREATING HYSTEROPTOSIS AND RECTOCELE USING MESH POLYPROPYLENE IMPLANT AND PROPER TISSUES | 2023 |
|
RU2821561C1 |
| METHOD OF SURGICAL CORRECTION OF COMBINED FORMS OF GENITAL PROLAPSE USING LAPAROSCOPIC COMBINED LONGITUDINAL-TRANSVERSE FIXATION OF VAGINAL DOME OR CERVIX (OPTIONS) | 2022 |
|
RU2806872C2 |
| METHOD FOR LAPAROSCOPIC COLPOFIXATION AT HYSTERECTOMY | 2006 |
|
RU2307618C1 |
| LAPAROSCOPIC BILATERAL HYSTEROCERVICOCOLPOSUSPENSION USING TITANIUM MESH IMPLANTS IN PATIENTS WITH APICAL PROLAPSE | 2020 |
|
RU2748678C2 |
