RO130040A2 - Procedeu privind ancorarea istmului uterin prin bandeleta la teaca drepţilor abdominali - Google Patents

Procedeu privind ancorarea istmului uterin prin bandeleta la teaca drepţilor abdominali Download PDF

Info

Publication number
RO130040A2
RO130040A2 ROA201200777A RO201200777A RO130040A2 RO 130040 A2 RO130040 A2 RO 130040A2 RO A201200777 A ROA201200777 A RO A201200777A RO 201200777 A RO201200777 A RO 201200777A RO 130040 A2 RO130040 A2 RO 130040A2
Authority
RO
Romania
Prior art keywords
strip
uterine
isthmus
anchoring
prolapse
Prior art date
Application number
ROA201200777A
Other languages
English (en)
Inventor
Saba Nahedd
Original Assignee
Saba Nahedd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Saba Nahedd filed Critical Saba Nahedd
Priority to ROA201200777A priority Critical patent/RO130040A2/ro
Priority to US14/421,302 priority patent/US20150335413A1/en
Priority to PCT/RO2013/000014 priority patent/WO2014107117A2/en
Priority to EP13848143.7A priority patent/EP2914196B1/en
Publication of RO130040A2 publication Critical patent/RO130040A2/ro

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
    • A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
    • A61F2/0045—Support slings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004—Means for attaching suture to needle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B17/06109—Big needles, either gripped by hand or connectable to a handle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3201—Scissors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3209—Incision instruments
    • A61B17/3211—Surgical scalpels, knives; Accessories therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42—Gynaecological or obstetrical instruments or methods
    • A61B17/4241—Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00805—Treatment of female stress urinary incontinence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004—Means for attaching suture to needle
    • A61B2017/06019—Means for attaching suture to needle by means of a suture-receiving lateral eyelet machined in the needle
    • A61B2017/06023—Multiple eyelets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004—Means for attaching suture to needle
    • A61B2017/06042—Means for attaching suture to needle located close to needle tip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/0608—J-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/06085—Needles, e.g. needle tip configurations having a blunt tip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/036—Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Urology & Nephrology (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pregnancy & Childbirth (AREA)
  • Reproductive Health (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)

Abstract

Invenţia se referă la un procedeu pentru ancorarea istmului uterin în cadrul unei intervenţii chirurgicale, pentru tratamentul prolapsului avansat al peretelui vaginal anterior, cistocel foarte mare, denumit cistocel per magna şi, respectiv, al prolapsului uterin stadiile al II-lea şi al III-lea. Procedeul conform invenţiei cuprinde ancorarea pe faţa posterioară a istmului intern a unei bandelete cu două fire din material neresorbabil lateral şi, respectiv, cu alte două fire pe faţa posterioară, bandeleta pentru ancorarea istmului uterin fiind utilizată împreună cu o bandeletă suburetrală,şi având o dimensiune a ochiurilor de 0,03 mm şi o lungime egală cu 10 cm, fiind confecţionată dintr-un material acceptat medical, şi are o porţiune lungă, de care, în dreptul unei zone mediane a ei,este fixată o porţiune scurtă, nişte capete ale porţiunii lungi fiind legate cu câte unul dintre nişte fire, iar un capăt interior al porţiunii scurte fiind liber, lungimea porţiunii scurte fiind ajustată prin tăiere în timpul intervenţiei chirurgicale, în funcţie de dimensiunile pacientei.

Description

invenția se refera ia un procedeu chirurghicai pentru tratamentul proiapsub,· m oeretehr vagma! anterior cistoce' foarte ^rș denumit cistocel permagna p’-elaosuiiji uie-tn stadiu! li si di ,;u prolaps Jterin se înțelege coborârea iiteruim axul vaginului si ir· afara ,-m msotrta ne deplasarea <n accelast sens a pereților vaginului s’ a oo-dmiTr a!‘ mor ijnnarp sî a rectllini
-·>c.a cstp r· '-ry-'-r^rp gr agresta m i'ur,!! bazm a uterukii ca urmare a r^ia^a c, 3 tpsut'jnțcr fibroase in extensibile ale nerineuluit mușchii care formează caz.nuni'· prp. um $; a miiioacelor de susținere a organelor micului bazin •-nes’ fapt explica hermerea . respectiv prolapsul uterin ir afara comisurii v-evam
-ute grade cu anarhia simptomatologiei clinice, care consta m senzația de greutate 3 pejv,suiu, dijrere iornbai j :.a mers la unnare. la contam i: spnsatie ca ceva cade afara»' sta pe o minge iritatia introitului si ulcerat: ase
-meosm uter»n afecteaza îndeosebi feme-le după menopauza cele c?- o
- r oale naturala c naștere dificila sau de mai multe on · multiparei aceste s'mptome creeaza un disconfort biologe si social pentru oaciema ?- i' c1 mctpaiu'. obiectiv ai acestui procedeu operator reconstructiv care satisface ;;r.a reprezenta^ pr,r> reDiineroa anatomica a uterului m poziția se r’-'Oiansui utenn este deseon asociat cu incontenenta urinara la efort pierderea a mc-atuu de urma ia efort uneori mascata de prolabarea excesiva a uterulu’
O menționat ca m urma oricărui tratament chirurgical pentru corectam s > o!enn frpp-.Be avut ».n vedere s; corectarea incontinentei urinare ia efpd r 3?emer-a tehnica chirurgicala anatomica de reconstituire nu ex;s’.a ; mAae rimatele operator,- rog-ue șau d’scutabîie
tastm Hntaab
99-1127
2O13-OO777
1 -10- 2012 tratamentul actual care se utilizează consta m • histerectomie adica extirparea uteruh.if pe cale vaginala Dezavantaj' aceste» tehnici este apariției după un timp a prolapsului de bolta vaginaia • histeropexie care consta in fixarea uterului de un elemet stabil din meu; bazin cn ajutorul unui fir sau a unor benzi. în prezent sunt utilizate doua metode fixarea de un ligament a! primei vertrebe sacrete (promontofixatiei si încrucișarea ligamentelor rotunde care susțin vter'y· 'histeropexie hgamentara) Metoda are dezavantajul apariției unui smdrom dureros pelvin avand recidive cu un procent foarte mare • ooiporafia anterioara s> colpoperineorafie posterioare cu mioraha ridicătorilor anali consta in refacerea mușchilor planseului pelvin pentru a •marii susținerea organelor pelvme • ’ripia operație de ia Manchester consta in amputatia colului ute colpore.fie anterioara si colpopernorafie posterioare .·' alt dezavantaj comun ia toate tehnicde amintite mai sus este incontinenta umn :-.are are un efect secundar cunoscut al chirurgiei prolapsului Acest lucru este : m/ratm atunci când structurile vezicii urinare au fost afectate de eliminarea uterului .jn alt dezavantaj sau complicația majora 0 reprezintă faptul ca toate aceste ... r-, r,,j rezolva definitiv prolapsul uterin ci parțial cu sanse mari de reapare :-r,!3os duna un timp Rata de succes ale celor mai multe dintre procedeele ·.-dicaie vanaza de la 60%-90%. des· mai sunt pacient» care au o rata de succes , ÎTnca
Avantajele proceduri conform invenției rezolva problemele de mai sus repuni:
DOzhia sa anatomica rezolva incontinenta unnara la efort întrucât foloseștez: •-•eieta dm matenai de polipropen rerezorbabil care se ancoreaza la teaca muschuo:
....... gî;.;r,^!r,!na!! îeSLn mdependent normonai sanseie de recidiva devenin-'mult ms
Comparativ cu tratamentul actual care consta in histerectomie. histeropexie sa>... ·- pc-afie anterioara si colpopenneorefia posterioare, metoda conform invenție· eaiizeaza ancorarea istmul uterin la teaca mușchilor drepți abdominali prin aplicarea ©2012-00777
1 9o- ztnz .candelele pe fata posterioare a istmului uterin astfel toata greutatea uteru’ui ·*'·‘—:.ra de handeleta si ancorata ia teaca mușchilor drept! abdominal· test?
ι-ren-țpni hormonal i adica nu se relaxeaza cu înaintarea in varsta)
Metoda conform invenției repune uterul in poziție cat mai aproape posibil de mm'ia anatomica normala fara de ai tractiona prea sus. facilitând apariția rectoce’
Aplicarea altei bandelete sub uretrăi rezolva in accelasi timp incontinenta urmam msa unui consens privind existenta in actualitate a unui procedeu ch'rurgn-cm ••r-t s· eficient într-un asemenea context anatomo-ciinic morbid m-a condus ia mrmarea aceste·· fehnici chirurgicale care conform invenției permite reconstrucția ··-·'· -m1— mpune uțeru| ;r poziția sa anatomica si corectează incontinenta urinara m . imcscuta m deosebi asocierea frecventa a colapsului uterin cu incontenenta -m m efort mascata prin cudarea uretei prin prolabarea uterului in afara vaginului
C .mform invenției tehnica chirurgicala include următorii timpi operatori mm ί Incizia in T “ inversat la 1 5 cm de orificiul uterin extern pana la tuberculul uretrăi Fig 1
2- Decolarea vezicii de pe peretele anterior ai vaginului si a vezicii de pe OOÎ Fig 2 mm 3 Cmerea tunetelor retropubiene Fig 3 mm 4 Continuarea circularei inciziei pe fata posterioara a colului uterin Fig 4
m.....:ό Γ· Decolarea mucoasei vaamale de pe rect
c. ©Cs7i3 stiorapubiana de 5 cm mp Cu pensa S&M se montează capetele celor 2 plase si se trec prin tunem de partea dreapta Fig.5 imp 8 Fixarea bandeletei de pe fetele laterale si posterioara a istmului uterm
F-g 6 ; -mo 9 Se fixeaza partea libera a handeietei pe fata anterioara a istmului uteu mg 'Dmp io Se trec capetele bandeletei de pe istm si celelalte capete de pe bandeleta suburetrala prin tunelul de partea stanga mm m Coloectorma anterioara
V2 0 1 2 - 0 0 7 7 7
1 -70- 20t2
Τ' mp 12 Colporafia anterioara mp 13 Se ancoreaza capetele firelor la teaca drepților abdominali, cele de oe bandeleta suburetaia la extremitățile laterale, iar bandeleta de pe istm mai median Fig 8 mp 14 Tracțiunea si legarea firelor mp >5 Sutura inciziei suprapubiene Fig.9 mp 16 Coipopermeorafie posterioara cu miorafia ridicătorilor anali ocedeui conform invenției consta m <ν 2012- 0 0777
1 -im- 2012
PROCEDEU PRIVIND ANCORAREA ISTMULUI UTERIN PRIN BANDELE^
LA teaca drepților abdominali

Claims (1)

  1. Procedeu chirurgical pentru tratamentul prolapsului uterin ( grad h !i' ?· cistocei permagna. caracterizat onn aceea ca in ancorarea pe Lata postenoara a istmului uterin a unei bandelete speciala suturata cu 2 bre d’n material nerezorbabil lateral s· a cate 2 fire pe fata posterioară partea iibera A a bandelete! acopera istmul uterin pe fata anterioara s* se sutureaza cu alte 2 fire din materia! nerezorbabil capetele firelor acestei bandelete sunt trecute prin cele doua tunele create paraureriai retropubian si suprasimfizar si fixate <a teaca drepților abdominali Pmcedeu chirurgical pentru tratamentul prolapsului uterin i grad 2 s· ? conform revendicam 1 caracterizat prin aceea ca in accelasi timp o aim bandeleta se montează la nivelul funcțiuni' cistouretrale. capetele firelor ne ce bandeleta sunt ancorate ia teaca drepților abdominali Aceste caoete se leaga ia extremitățile externe fata de capetele precedente orm contramcizii suprapubiene
    Procedeu chirigical pentru tratamentul prolapsului conform revendicau: ‘ s.· 2 caracterizat prin aceea ca bandeleta speciala este formata dm material polipropilen cu dimensiunile ochiurilor de 0.03 mm de lungime 15 cm. lățime 1 2 cm ia capete se leaga un f<r din material nerezorbabil ia șumatatea distantei a bandeletei pleaca partea libera o bandeleta olungime 5 cm cu care se acopera >stmui uterin pe fata anterioara 'apami celalalt ai bandelete’ se taie după dimensiunile pacientei s· leaga cu un fir din material nerezorbabil
ROA201200777A 2012-10-31 2012-10-31 Procedeu privind ancorarea istmului uterin prin bandeleta la teaca drepţilor abdominali RO130040A2 (ro)

Priority Applications (4)

Application Number Priority Date Filing Date Title
ROA201200777A RO130040A2 (ro) 2012-10-31 2012-10-31 Procedeu privind ancorarea istmului uterin prin bandeleta la teaca drepţilor abdominali
US14/421,302 US20150335413A1 (en) 2012-10-31 2013-07-25 Medical instruments kit and method for treating uterus prolapse
PCT/RO2013/000014 WO2014107117A2 (en) 2012-10-31 2013-07-25 Medical instruments kit and method for treating uterus prolapse
EP13848143.7A EP2914196B1 (en) 2012-10-31 2013-07-25 Medical instruments kit for treating uterus prolapse

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
ROA201200777A RO130040A2 (ro) 2012-10-31 2012-10-31 Procedeu privind ancorarea istmului uterin prin bandeleta la teaca drepţilor abdominali

Publications (1)

Publication Number Publication Date
RO130040A2 true RO130040A2 (ro) 2015-02-27

Family

ID=50543642

Family Applications (1)

Application Number Title Priority Date Filing Date
ROA201200777A RO130040A2 (ro) 2012-10-31 2012-10-31 Procedeu privind ancorarea istmului uterin prin bandeleta la teaca drepţilor abdominali

Country Status (4)

Country Link
US (1) US20150335413A1 (ro)
EP (1) EP2914196B1 (ro)
RO (1) RO130040A2 (ro)
WO (1) WO2014107117A2 (ro)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
UA121008C2 (uk) * 2019-03-11 2020-03-10 Олексій Олексійович Люлько Спосіб лікування пролапсу органів малого тазу та нетримання сечі у жінок
CN109875759B (zh) * 2019-04-24 2021-07-30 陕西中医药大学附属医院 一种眼科用缝合器

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU1041795A (en) * 1993-10-25 1995-05-22 Children's Medical Center Corporation Retractable suture needle with self-contained driver
US5769859A (en) * 1996-04-09 1998-06-23 Dorsey; William R. Umbilical scissors
US6761725B1 (en) * 1999-09-08 2004-07-13 Jeffrey Grayzel Percutaneous entry system and method
CA2657241C (en) * 2001-10-01 2011-03-01 Depuy Mitek, Inc. Suturing apparatus and method
CA2705609C (en) * 2002-08-14 2016-10-25 Boston Scientific Limited Systems, methods and devices relating to delivery of medical implants
AU2006254973A1 (en) * 2005-06-06 2006-12-14 Ams Research Corporation Devices and methods for ligating uterine arteries
US7846093B2 (en) * 2005-09-26 2010-12-07 K2M, Inc. Minimally invasive retractor and methods of use
EP2104457A2 (en) * 2006-10-03 2009-09-30 Boston Scientific Limited Systems and devices for delivering an implant
US20080114382A1 (en) * 2006-11-03 2008-05-15 Ams Research Corporation Uterine Artery Ligation Devices and Methods
US8758359B2 (en) * 2007-05-14 2014-06-24 Ethicon, Inc. Instruments for implanting implantable prostheses
US20110130773A1 (en) * 2007-07-03 2011-06-02 Saliman Justin D Methods for continuous suture passing
EP2242434A1 (en) * 2007-10-10 2010-10-27 Ethicon Endo-Surgery, Inc. Ultrasonic device for cutting and coagulating
US9226809B2 (en) * 2009-02-10 2016-01-05 Ams Research Corporation Surgical articles and methods for treating urinary incontinence
DE102010040667A1 (de) * 2009-09-11 2011-03-31 Günter Bissinger Medizintechnik GmbH Instrument für die endoskopische Chirurgie
US8425520B2 (en) * 2009-10-30 2013-04-23 Depuy Spine, Inc. Bone plate holder
US9265514B2 (en) * 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US20150157350A1 (en) * 2012-11-09 2015-06-11 Graham Medical Technologies Llc Nerve decompression scissors

Also Published As

Publication number Publication date
EP2914196A2 (en) 2015-09-09
WO2014107117A3 (en) 2014-08-28
US20150335413A1 (en) 2015-11-26
WO2014107117A2 (en) 2014-07-10
EP2914196B1 (en) 2019-12-04

Similar Documents

Publication Publication Date Title
US6575897B1 (en) Suspension device for treating prolapse and urinary incontinence
AU2004229194B2 (en) Implant for treatment of a rectocele and device for placement of said implant
KR100818539B1 (ko) 여성 방광을 고정하기 위한 임플란트
EP2158882B1 (en) Device for preventing and treating pelvic organ prolapse
RO130040A2 (ro) Procedeu privind ancorarea istmului uterin prin bandeleta la teaca drepţilor abdominali
CN109302841A (zh) 用于治疗骨盆病症的植入件和方法
RU2683763C1 (ru) Способ хирургического лечения выпадения матки
RU2597409C2 (ru) Способ хирургического лечения влагалищного энтероцеле, ректоцеле
RU2533983C2 (ru) Способ коррекции пролапса гениталий в сочетании с элонгацией шейки матки
Kumtepe et al. Pregnancy and delivery after anterior vaginal mesh replacement: a case presentation
RU2476176C2 (ru) Способ хирургического лечения опущения передней стенки влагалища у женщин с сохраненной шейкой матки
RU2020135066A (ru) Лапароскопическая билатеральная гистероцервикокольпосуспензия с использованием титановых сетчатых имплантатов у пациенток с апикальным пролапсом
RU2654683C2 (ru) Способ одновременной двухуровневой коррекции энтероцеле лапаровагинальным доступом (варианты)
RU2235517C1 (ru) Способ коррекции опущения и неполного выпадения внутренних половых органов
RU2363397C1 (ru) Способ хирургического лечения сочетанного пролапса органов малого таза
CN203328852U (zh) 用于治疗女性子宫脱垂、阴道脱垂的悬吊绳及悬吊套装包
La Torre et al. Use of anal sling in the treatment of faecal incontinence
CN107106313A (zh) 用于尿失禁手术的悬带
EP3349685A1 (en) Functional biological patch for pelvic floor prolapse
Musin et al. Using a needle for sacrospinous ligament fixation for pelvic organ prolapse based on the Miyazaki technique
RU2197909C1 (ru) Способ хирургического лечения опущения и неполного выпадения матки в сочетании с гипертрофией и фоновыми заболеваниями шейки матки
RU2011154228A (ru) Способ хирургического лечения опущения и/или выпадения стенок влагалища у женщин после экстирпации матки
RU2196532C2 (ru) Способ оперативного лечения неполного выпадения матки
RU72846U1 (ru) Имплантат для укрепления пузырно-влагалищной фасции при хирургическом лечении цистоцеле
Jaeger Treatment for Prolapse of the Uterus: Cervico-Sacropexy (CESA) and Cervico-Recto-Sacropexy (CERESA)