METHOD OF SIMULTANEOUS CORRECTION OF RECTOCELE COMBINED WITH APICAL PROLAPSE IN PATIENTS OF REPRODUCTIVE AGE Russian patent published in 2020 - IPC A61B17/42 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to gynecology. Preliminary hydrodissection of the posterior vaginal wall is made, a longitudinal incision is made from the middle of the posterior arch to posterior commutation of the labia major labia through all layers of the posterior vaginal wall to loose fibrous connective tissue. Thereafter, two transverse incisions are made: in the posterior arch and posterior solder of the major labia – rectangular leaves are formed from the vaginal mucosa with a base that is a vaginal lateral vault. That is followed by a blunt method dissection through a pararectal cell space to a sacrospinal ligament and a posterior wall of the uterine cervix in the sacral-uterine ligament. Synthetic implant is fixed at its center with size of 20×90 mm, and free ends of implant by anchor or piercing method is fixed to sacrospinal ligament. Then, one leaf of vaginal mucosa is used to form neofascia by means of argon-plasma coagulation and a free edge of the obtained neofascia is anchored to the base of the opposite leaf on the inner side. Upper leaf is placed on top of it and a larger side is fixed, and the edges of the incision of the vaginal mucosa in the posterior arch – to the implant.

EFFECT: method enables reducing a rate of recurrent genital prolapse, improving functional results and quality of life of patients, reducing the frequency of mesh-associated complications, increasing the economic effect by reducing health care costs on said pathology.

1 cl, 2 ex