METHOD FOR SURGICAL TREATMENT OF POSTHYSTERECTOMIC VAGINAL PROLAPSE AT THE BACKGROUND OF PERINEAL DESCENSUS SYNDROME

摘要

FIELD: medicine, gynecology.;SUBSTANCE: one should make an incision of anterior and posterior vaginal wall mucosa by leaving 1.5 cm against external urethral opening and from perineal skin from the back up to the cupola to separate it laterally. Both anterior and posterior vaginal walls should be strengthen with a synthetic netting of cross-shaped form, at the size of longitudinal part being 12x3 cm, and cross-sectional one - 6x1.5 cm, so, that netting's cross-sectional part to be at the level of vaginal cupola. Vaginal fixation to sacro-spinous ligaments should be performed by both ends of cross-sectional strip at moderate tension. The present innovation enables to carry out sacro-spinous vaginal fixation at any vaginal length, moreover, fulfill it from both sides and achieve good functional results.;EFFECT: higher efficiency of therapy.;2 dwg, 1 ex