FIELD: medicine.
SUBSTANCE: one performs combined serial surgical intervention. One performs front colporrhaphy. On bladder purse-string suture is laid and fixed to urogenital diaphragm. Rear colporrhaphy is conducted with levatoplasty. From laparotomic approach uterus ventrofixation is performed. Mesh implants are brought from back surface of uterus through wide extraperitoneal ligament. Fixation zone to uterus implants of partially resorbable multifilament mesh is peritonized by peritoneum of recto-breeding recesses.
EFFECT: method provides elimination of pelvic prolapse with cistocele and rectocele, due to simultaneous correction of physiological position of uterus, urinary bladder and rectum.
1 cl, 2 ex
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Authors
Dates
2016-04-10—Published
2015-04-13—Filed