METHOD CORRECTION genital prolapse concurrent with elongation CERVICAL

摘要

1. A method for correction of prolapse in combination with cervical elongation, comprising the steps that is performed vaginal access, under aseptic conditions cervix fixed bullet forceps and relegates, expanding the cervical canal cervical dilators Gegara from №6 to 10, or greater numbers, measure the length of the cervical canal to the internal os uterine probe incision at the vaginal mucous arches anterior vaginal wall 1.5-2.0 cm. below the urethra, in particular of the mucous flap cut out oval otseparovyvayut from underlying tissues mobilizing cut edges, bladder otseparovyvayut cervical and vaginal mucosa, the incision still circularly on the cervix, applied clamps on the cardinal ligaments and intersect them during the operation for ligation, support, suspension and / or stapling tissues used, including nonabsorbable connecting and supporting elements Crossed cardinal ligaments on each side of the uterus is sewn and ligated resorbable ligatures produce stake ovidnuyu cervical ablation, the value of the amputated part depends on the degree of elongation cervical stump cardinal ligament sutured to the front of the cervix cervix form two resorbable sutures of Shturmdorfu on lateral cervical sections impose certain absorbable sutures, patency of the cervical canal is checked uterine probe as the final stage of the operation, in accordance with the state of the patient's tissue, mucous anterior vaginal wall is reduced separate rassasyvayuschimis