METHOD FOR ENDOSCOPIC TREATMENT OF RECURRENT FORMS OF GENITAL PROLAPSE IN WOMEN OF MENOPAUSAL AGE Russian patent published in 2024 - IPC A61B17/42 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to surgical gynaecology. Initially, the length of the vaginal dome is shortened by applying 5-6 mattress sutures. Vaginal dome is sutured longitudinally starting from the distal point of dissection of the anterior vaginal wall from the vesicouterine fold to the apex of the vaginal dome. Then, lateral fixation of the vaginal dome is performed using a mesh implant cut from a monofilament propylene mesh, implant with its wide part is fixed along the whole length to middle and lower thirds of anterior wall of vaginal dome with 7–9 interrupted sutures with application of non-absorbable sutures. Implant sleeves are brought out through the tunnels formed under the parietal peritoneum of the anterior abdominal wall to the skin. Sleeves withdrawal points are placed 4 cm higher and 2 cm lateral from the anterior superior iliac spine without fixation to the aponeurosis; then, peritonisation is performed.

EFFECT: method enables reducing the total surface area of the vaginal dome, as well as increasing the degree of adhesion of the mesh implant to the vaginal walls.

4 cl, 3 ex