METHOD OF SURGICAL TREATMENT OF PROLAPSE OF ANTERIOR WALL OF VAGINA IN WOMEN WITH PRESERVED CERVIX

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to gynecology. Vagina and underlying fascia are dissected from transvaginal access in 2.5-3 cm from urethra orifice. Mesh implant with four sleeves is passed by means of guides through proximal and distal parts of tendinous arch of pelvic fascia on perineum. Sleeves are brought out and sewn to each other from two sides without tension above obturating membrane. Implant ids fixed to anterior surface of cervix. Posterior wall of vagina is dissected in 3-4 cm from external os in area of posterior fornix. Cervix is fixed to extraperitoneally exposed from both sides sacro-uterine ligaments with 1.5 cm wide prolene tape. Free sleeves of tape are brought out through medial parts of sacrospinous ligaments from two sides on perineum.;EFFECT: method ensures reconstruction of neofascia due to fixation of implant in anterior part of pelvis bottom and fixation of cervix with prolene tape to the strongest structures of pelvis minor.;3 dwg, 3 ex