METHOD OF SURGICAL MANAGEMENT OF RECTOCELE Russian patent published in 2019 - IPC A61B17/42 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to operative gynecology and proctology. Perforations of the anterior abdominal wall are performed in the periomphalic area and in the iliac regions. Perform incision of the parietal peritoneum and inject into the abdominal cavity prolene mesh. Peritonize the implant after fixation with sheets of peritoneum. In this case, the parietal peritoneum is dissected in the medial inguinal fossa. Visualize the comb ligament. Open in the avascular zone of the vesical space. Dissection to the middle third of the anterolateral wall of the vagina is performed, and then the rectangular prolene mesh is fixed to the vagina at the lower level of dissection with absorbable sutures, to the uterus in the area of attachment of cardinal ligaments and to the comb ligament with non-absorbable sutures. Peritonization of the mesh is performed after fixation with sheets of peritoneum, after which a microsurgical reconstruction of the rectovaginal fascia, levatoroplasty followed by posterior colporrhaphy is performed by transperineal access.

EFFECT: method provides high efficiency in the correction of pelvic prolapse, due to prosthetics of all 3 levels of pelvic floor fixation, prevents the formation of erosion of the vagina, rectum, bladder, as well as the development of dyspareunia, no risk of bleeding from the presacral plexus, injuries of the hypogastric nerves, ureters, iliac vessels, rectum.

1 cl, 2 ex