METHOD OF COMPLEX SIMULTANEOUS CORRECTION OF CYSTOCELE AND APICAL PROLAPSE IN PATIENTS OF REPRODUCTIVE AGE Russian patent published in 2023 - IPC A61B17/42 A61B18/04 A61F2/02 

FIELD: medicine; operative gynecology.

SUBSTANCE: plastic surgery during surgical intervention is carried out by forming a neofascia: the anterior wall of the vagina is dissected longitudinally from the urethrovesical segment to the cervix. Then transverse incisions are made perpendicularly above and below the longitudinal incision, access to the sacro-spinal ligaments is provided, a polypropylene tape 20×90 mm is fixed to them and to the anterior wall of the cervix in the area of the cardinal ligaments. After that, the mucous layer is removed from one of the flaps using argon-plasma coagulation and both flaps are overlapped with the condition of applying the top layer to the side of the other flap treated with argon-plasma coagulation. Then the incisions are sutured and after colpoperineolevathoroplasty in the postoperative period the patient receives the following metabolic therapy: first, the patient takes "Magne B6" — 2 tablets 3 times a day for 14 days, then 2 tablets 2 times a day for 2 months, ascorbic acid — 0.6 g per day for 4 weeks, mildronate — 5 ml of an intravenous solution on autologous blood N10, then 250 mg 2 times a day for 12 days; then the patient takes zincite — 1 tablet 2 times a day for 1.5 months; Mexicor — 100 mg of a 2% solution intravenously N10, then 1 capsule 3 times a day for 3 months; afterwards the patient takes calcemin advance — 1 tablet 2 times a day for 4 months or copper sulfate 1% solution — 10 drops per dose 3 times a day for 4 weeks + calcium-D3 nycomed 1 tablet 2 times a day for 4–6 weeks.

EFFECT: reduction of the frequency of relapses of the anterior compartment of the pelvic floor, due to complex rehabilitation, systemic improvement of the condition of the patient's connective tissue, thereby improvement of the quality of life, reduction of the frequency of mesh-associated complications, increasing the economic effect by reducing healthcare costs for this pathology.

1 cl, 1 ex