SURGICAL TREATMENT OF COMBINED FORMS OF GENITAL PROLAPSE Russian patent published in 2024 - IPC A61B17/42 A61F2/02 

FIELD: medicine; surgical urology.

SUBSTANCE: posterior and anterior implants used in the future are first cut out from a monofilament propylene mesh. At the first stage, after dissection of the posterior wall of the vagina, rectum and medial part of the m. Levatorani cut posterior implant is fixed with six non-absorbable sutures: 1 suture each to the muscle on the right and left, 1 suture each to the right and left uterosacral ligament in the area of the uterine isthmus and to the posterior wall of the vagina in the upper third — 1 suture and in the middle third — 1 seam. The uterosacral ligaments are sutured, followed by peritonization. At the second stage, the central expanded part of the main implant is fixed in the area of the isthmus of the anterior wall of the uterus, the upper and middle third of the anterior wall of the vagina using 7–9 non-absorbable sutures. The mesh sleeves of the anterior implant are brought out through the formed tunnels under the parietal peritoneum of the anterior abdominal wall to the skin, at a point above and lateral to the anterior superior iliac spine. After fixing the prosthesis, peritonization is performed using suture material made of monofilament thread.

EFFECT: technically accessible alternative to sacrovaginopexy, surgical interventions using native tissues; this operation can be used both in elderly patients with concomitant diseases, and in the reproductive period if organ-preserving surgery is required.

6 cl, 2 ex