METHOD OF SINGLE-STAGE TREATMENT OF POSTPARTUM DISORDERS OF RECTAL OBTURATOR APPARATUS AND RECTOCELE IN FEMALES Russian patent published in 2025 - IPC A61B17/00 A61F2/08 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to surgical gynaecology. Hydrodissection of a posterior vaginal wall is performed, a longitudinal incision from the middle of the posterior fornix to the posterior commissure of the labia majora through all layers of the posterior wall of the vagina to a loose fibrous connective tissue, forming rectangular flaps of the vaginal mucosa, which are the lateral fornix of the vagina. Legs of levator anus muscles are separated from the fascial bed. Synthetic absorbable braided ligatures are brought under them, after which, at 2 cm laterally from the apex of the coccyx, symmetrically left and right, subcutaneous fat is incised with length of 1 cm, tunnelled and a polypropylene tape-implant with width of 11 mm and length of 300-350 mm is inserted subcutaneously. Then the conductors are delivered through the obturator membrane to the cellular tissue, the ends of the implant tape are gripped and brought out through the obturator membrane, the tape is tightened without tension. Thereafter, the ends of the ligatures are tied on the ani levator muscles. Neofascia is formed from the first flap of the vaginal mucosa by argon plasma coagulation of surface layers of the epithelium. Free edge of this flap is sutured with separate interrupted sutures to the base of the opposite flap from the inside. Then the second flap is laid on top of the first one and fixed; the edges of the vaginal mucosa incision in the posterior fornix are fixed with separate ligatures to the cervix. Integrity of the vaginal mucosa and skin is restored.

EFFECT: method enables reducing the rate of recurrent genital prolapse, improving the functional outcomes and quality of life in the patients by relieving encopresis, increasing the economic effect by reducing health care costs for the given pathology.

1 cl, 2 ex