METHOD FOR SURGICAL CORRECTION OF PROLAPSE OF UTERUS Russian patent published in 2022 - IPC A61B17/42 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to surgical gynecology. Vaginal approach is used; a polypropylene all-knitted mesh endoprosthesis tape with atraumatic edges of the macroporous structure is implanted by passing it through sacrospinous ligaments from both sides with fixation to the cervix. Width of the endoprosthesis tape is 9 mm. Longitudinal incision of the anterior wall of the vagina is used as a vaginal approach. Thereafter, a posterior wall of the bladder is separated from the anterior wall of the vagina and cervix, and sacrospinous ligaments are mobilized from both sides. Then, on one side, the sacrospinous ligament is perforated with a perforator with a free end of the endoprosthesis tape at distance of 1.5–2.0 cm from the ischial spine at angle of 20° to the median sagittal plane. Further, without changing the direction of the perforator, it is carried out "from the inside-out" to the skin. Free end of the endoprosthesis tape is brought out through a skin incision in a gluteal region formed in a projection of the delivered end of the perforator. Then, on the other side, the other free end of the endoprosthesis tape is similarly brought out through the other incision in the gluteal region formed in the projection of the delivered end of the perforator. Central part of the endoprosthesis tape is fixed with two interrupted sutures to the anterior surface of the cervix using non-absorbable sutures at distance of 1.5 cm from each other. Colnotomic wound is closed with a continuous suture. Free ends of the endoprosthesis tape are pulled up, restoring the normal anatomical position of the cervix, and cut off at the level of skin incisions in the gluteal regions. Latter are closed with interrupted sutures.

EFFECT: method enables reducing the number of injuries of the intervention and preventing recurrent prolapse of the uterus.

1 cl, 2 ex