METHOD FOR SURGICAL TREATMENT OF COLPOPTOSIS ACCOMPANIED WITH RECTOCELE Russian patent published in 2022 - IPC A61B17/42 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to operative gynecology. An incision is made in the posterior wall of the vagina. suprafascial and subfascial hydrodissection of tissues is carried out. Allocate rectovaginal fascia. The first plication of the rectovaginal fascia is performed by applying separate U-shaped sutures to the edges of the fascia defect. Then, a second plication of the rectovaginal fascia is performed, for which a contralateral displacement of the medial portion of the fascia is performed and separate U-shaped sutures are applied to the resulting fold. The edges of the levators are mobilized in a sharp way, bilaterally on the medial portions of mm. Puborectalis separate seams are imposed. The excess mucosa of the posterior wall of the vagina is excised at a distance of not more than 5 mm from the edge of the incision, after which layer-by-layer restoration of the anatomical integrity is carried out.

EFFECT: method allows to reduce the invasiveness of the operation, the likelihood of relapses and the severity of dyspareunia, as well as to improve the functional result.

1 cl, 1 dwg, 2 tbl, 2 ex