WO2006034719A1 - Stent vaginal pour la prevention et le traitement du prolapsus du dome vaginal - Google Patents

Stent vaginal pour la prevention et le traitement du prolapsus du dome vaginal Download PDF

Info

Publication number
WO2006034719A1
WO2006034719A1 PCT/EG2004/000040 EG2004000040W WO2006034719A1 WO 2006034719 A1 WO2006034719 A1 WO 2006034719A1 EG 2004000040 W EG2004000040 W EG 2004000040W WO 2006034719 A1 WO2006034719 A1 WO 2006034719A1
Authority
WO
WIPO (PCT)
Prior art keywords
vaginal
stent
prevention
treatment
vault prolapse
Prior art date
Application number
PCT/EG2004/000040
Other languages
English (en)
Inventor
Sherif Mohammed Maher Ibrahim Negm
Rasha Ahmed Mostafa Kamel
Original Assignee
Negm Sherif Mohammed Maher Ibr
Rasha Ahmed Mostafa Kamel
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 Negm Sherif Mohammed Maher Ibr, Rasha Ahmed Mostafa Kamel filed Critical Negm Sherif Mohammed Maher Ibr
Publication of WO2006034719A1 publication Critical patent/WO2006034719A1/fr

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
    • 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

Definitions

  • Vaginal vault prolapse is the descent of the upper vagina after hysterectomy. It could also be a part of congenital prolapse .Enterocoele is a subtype.
  • a minimal type where the upper third is everted
  • a moderate or partial type where the upper half of the vagina is everted and the vault would reach the vulva
  • a complete type where more than half of the vagina is everted and any part of the vagina is outside the vulva.
  • vaginal vault prolapse after hysterectomy depends on the proper suspension of the vaginal vault to the cardinal & uterosacral ligaments. In -which case the strength of these ligaments is an effective factor.
  • vaginal vault prolapse is by an abdominal or a vaginal approach :
  • the vault can be suspended by a suture to the sacrospinous ligament ( vaginal sacrospinous colpopexy) or alternatively the anterior and posterior vaginal walls can be sutured together effectively closing the vagina ( Colpocleisis ).
  • the vaginal vault can be suspended to the anterior wall of the periosteum of the sacrum by means of a mesh with one end sutured to the vault & the other to the periosteum of the sacrum ( Abdominal Sacro- colpopexy).
  • vaginal sacrospinous colpopexy The problem with ( vaginal sacrospinous colpopexy ) is that the operation demands great surgical skill as well as specific surgical instruments as it carries the risk of injury to the pudendal vessels and nerve as well as the rectum . Also it doesn't compensate for the weakness in the prerectal fascia which is the primary cause for the prolapse in most of the cases. Moreover this operation results in abnormal anatomical position and direction of the vagina which on its own has numerous complications .
  • the problem with ( colpocleisis ) is that it closes the vagina thus making sexual intercourse impossible.
  • vaginal stent gives a simple solution to the inadequacies of the prophylactic and curative surgeries for vaginal vault prolapse as it is placed between the anterior rectal wall and anal canal posteriorly and the posterior vaginal wall anteriorly. Its upper end is anchored with sutures to the vaginal vault and the underlying fascia while its lower end is anchored with sutures to the perineal body thus it replaces or reinforces the prerectal fascia and prevents vaginal prolapse.
  • the vaginal stent is composed of :
  • the area inside of the skeleton is filled with a coarse macroporous mesh
  • stent Fixed to the four corners of the stent is a surgical swaged double suture made of Polydioxanone (PDS) number Zero (1-0) on a round bodied curved needle.
  • PDS Polydioxanone
  • the stent is of two different sizes to accommodate variations in vaginal capacity.
  • the large measures 9 cm in length , 5 cm in width and 5mm in thickness.
  • the small measures 7 cm in length , 3.5 cm in width and 3.5 mm in thickness.
  • the stent is placed by vaginal surgery.
  • the operation begins by dissecting the posterior wall of the vagina from the anterior rectal wall similar to posterior colporraphy.
  • the dissection is carried upwards until the vaginal vault is reached and laterally the dissection is extended sufficiently to allow for the stent to be positioned.
  • the stent is put in place , positioned longitudinally in the dissected space between the vagina and the rectum.
  • the stent is then anchored by the (PDS) sutures at its four corners .
  • the upper ones are sutured to the vaginal vault and the underlining fascia.
  • the lower ones are sutured to the perineal body.
  • the. stent is placed in a fashion similar to the prerectal fascia, replacing it or reinforcing it.
  • the vagina is then trimmed to remove any redundant tissue and is closed similar to closure of posterior colpoperineoraphy.
  • the stent is not complicated in structure, therefore should be easy to manufacture.
  • the material chosen for the stent is biologically inert.

Abstract

Ce stent se compose d'un squelette rigide externe (1) en forme de rectangle incurvé fait d'une substance organiquement inerte (polypropylène). La zone centrale ou intérieure du squelette (1) et remplie d'un réseau de polypropylène macroporeux (2) pores > 78µm). A chacun des quatre coins est fixé un fil chirurgical de polydioxanone (PDS) numéro zéro (1-0) sur lequel est sertie une aiguille incurvée. Le stent est de deux dimensions différentes pour s'adapter aux variations de capacité vaginale. Grandes dimensions: 9 cm de longueur (4), 5 cm de largeur (5) et 5 mm d'épaisseur. Petites dimensions: 7 cm de longueur (4), 3,5 cm de largeur (5) et 3,5 mm d'épaisseur.
PCT/EG2004/000040 2004-09-28 2004-10-17 Stent vaginal pour la prevention et le traitement du prolapsus du dome vaginal WO2006034719A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EG2004090413 2004-09-28
EG2004090413 2004-09-28

Publications (1)

Publication Number Publication Date
WO2006034719A1 true WO2006034719A1 (fr) 2006-04-06

Family

ID=36118604

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EG2004/000040 WO2006034719A1 (fr) 2004-09-28 2004-10-17 Stent vaginal pour la prevention et le traitement du prolapsus du dome vaginal

Country Status (1)

Country Link
WO (1) WO2006034719A1 (fr)

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2461826C1 (ru) * 2011-02-25 2012-09-20 Государственное образовательное учреждение высшего профессионального образования "Российский государственный медицинский университет Федерального агентства по здравоохранению и социальному развитию" (ГОУВПО РГМУ Росздрава) Способ профилактики развития пролапса гениталий после гистерэктомии
US20130138134A1 (en) * 2010-05-13 2013-05-30 Noel M. Elman Stent devices for support, controlled drug delivery and pain management after vaginal surgery
US8720446B2 (en) 2010-06-04 2014-05-13 Coloplast A/S Sacrocolpopexy support and method of implantation
US9248035B2 (en) 2010-12-22 2016-02-02 University Of South Florida Flared vaginal stent
US9480546B2 (en) 2013-08-05 2016-11-01 Coloplast A/S Hysteropexy mesh apparatuses and methods
US9707090B2 (en) 2008-10-23 2017-07-18 CMC Group LLC Surgical implantable stabilizer sling for basal joint arthroplasty
US10278692B2 (en) 2008-10-23 2019-05-07 CMC Group LLC Sling suspension system for supporting the thumb of a patient after basal joint arthroplasty
US10426586B2 (en) 2017-01-16 2019-10-01 Coloplast A/S Sacrocolpopexy support
US11484301B2 (en) 2014-01-14 2022-11-01 Simparo Inc. Suture-locking washer for use with a bone anchor, and method for supporting the thumb of a patient after basal joint arthroplasty, and other novel orthopedic apparatus and other novel orthopedic procedures

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6010447A (en) * 1998-07-31 2000-01-04 Kardjian; Paul M. Bladder sling
WO2003073960A1 (fr) * 2002-03-01 2003-09-12 Ethicon, Inc. Procede et traitement de prolapsus d'organes pelviens chez des femmes
WO2004012626A1 (fr) * 2002-08-01 2004-02-12 Fin Med S.A.S. Di Grondelli & C. Dispositif de traitement chirurgical du prolapsus feminin
US6695855B1 (en) * 1999-04-27 2004-02-24 Sofradim Production Device for treating a prolapse by vaginal suspension
US20040138747A1 (en) * 2001-03-28 2004-07-15 George Kaladelfos Treatment of vault prolapse

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6010447A (en) * 1998-07-31 2000-01-04 Kardjian; Paul M. Bladder sling
US6695855B1 (en) * 1999-04-27 2004-02-24 Sofradim Production Device for treating a prolapse by vaginal suspension
US20040138747A1 (en) * 2001-03-28 2004-07-15 George Kaladelfos Treatment of vault prolapse
WO2003073960A1 (fr) * 2002-03-01 2003-09-12 Ethicon, Inc. Procede et traitement de prolapsus d'organes pelviens chez des femmes
WO2004012626A1 (fr) * 2002-08-01 2004-02-12 Fin Med S.A.S. Di Grondelli & C. Dispositif de traitement chirurgical du prolapsus feminin

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9707090B2 (en) 2008-10-23 2017-07-18 CMC Group LLC Surgical implantable stabilizer sling for basal joint arthroplasty
US10278692B2 (en) 2008-10-23 2019-05-07 CMC Group LLC Sling suspension system for supporting the thumb of a patient after basal joint arthroplasty
US9615904B2 (en) 2009-02-05 2017-04-11 Coloplast A/S Sacrocolpopexy support
US20130138134A1 (en) * 2010-05-13 2013-05-30 Noel M. Elman Stent devices for support, controlled drug delivery and pain management after vaginal surgery
US8720446B2 (en) 2010-06-04 2014-05-13 Coloplast A/S Sacrocolpopexy support and method of implantation
US9248035B2 (en) 2010-12-22 2016-02-02 University Of South Florida Flared vaginal stent
RU2461826C1 (ru) * 2011-02-25 2012-09-20 Государственное образовательное учреждение высшего профессионального образования "Российский государственный медицинский университет Федерального агентства по здравоохранению и социальному развитию" (ГОУВПО РГМУ Росздрава) Способ профилактики развития пролапса гениталий после гистерэктомии
US9480546B2 (en) 2013-08-05 2016-11-01 Coloplast A/S Hysteropexy mesh apparatuses and methods
US11484301B2 (en) 2014-01-14 2022-11-01 Simparo Inc. Suture-locking washer for use with a bone anchor, and method for supporting the thumb of a patient after basal joint arthroplasty, and other novel orthopedic apparatus and other novel orthopedic procedures
US10426586B2 (en) 2017-01-16 2019-10-01 Coloplast A/S Sacrocolpopexy support

Similar Documents

Publication Publication Date Title
EP2026702B1 (fr) Appareil pour réparer une distension du releveur
AU2007204098B2 (en) Multi-leveled transgluteal tension-free levatorplasty for treatment of rectocele
AU2007204944B2 (en) Levator for repair of perineal prolapse
Barbalat et al. Surgery for pelvic organ prolapse: a historical perspective
Moore et al. Vaginal mesh kits for pelvic organ prolapse, friend or foe: a comprehensive review
Developed by the Joint Writing Group of the American Urogynecologic Society and the International Urogynecological Association Meriwether Kate V. Gold Karen P. de Tayrac Renaud Cichowski Sara B. Minassian Vatche A. Cartwright Rufus Miotla Pawel Grimes Cara L. Brito Luiz GO Bazi Tony M. Carberry Cassandra L. Zhu Lan Rogers Rebecca G. Joint report on terminology for surgical procedures to treat pelvic organ prolapse
WO2006034719A1 (fr) Stent vaginal pour la prevention et le traitement du prolapsus du dome vaginal
von Theobald Place of mesh in vaginal surgery, including its removal and revision
Cervigni et al. A comprehensive view on the actual trend in pelvic organ prolapse repair
Lam et al. A new laparoscopic approach for enterocoele repair
Rizvi et al. Graft and mesh use in vaginal surgery
DeLancey Functional anatomy of the pelvic floor
RU2800897C1 (ru) Способ одновременного лечения цистоцеле и стрессового недержания мочи с применением синтетического импланта
RU2764370C1 (ru) Способ лечения больных с тотальным пролапсом тазового дна
Van Kuiken et al. Complications of the Use of Synthetic Mesh Materials in Stress Urinary Incontinence and Pelvic Organ Prolapse
Abdelkhalek et al. Laparoscopic Ventral Rectopexy for Rectal Prolapse: Steps and Evidence
McKinney Pelvic Floor Surgery
Paraiso Laparoscopic abdominal sacral colpopexy
McKinney et al. FLOOR SURGERY
Hughes et al. Abdominoperineal levator ani repair for rectal prolapse: Technique
Nguyen et al. Abdominal Approach to Supporting the Vaginal Apex
Descamps et al. A new vaginal and laparoscopic technique for the treatment of genital prolapse described as an alternative to laparoscopic promontofixation (PF)
Vianello et al. The use of reabsorbable small intestinal submucosa (SIS) mesh versus non-reabsorbable prolene mesh in laparoscopic promontofixation: A prospective randomized comparison
Colpopexy Surgery for Pelvic Organ Prolapse
Stanton Genital Prolapse: Surgery for Failed Conservative Treatment

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BW BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE EG ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NA NI NO NZ OM PG PH PL PT RO RU SC SD SE SG SK SL SY TJ TM TN TR TT TZ UA UG US UZ VC VN YU ZA ZM ZW

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): BW GH GM KE LS MW MZ NA SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IT LU MC NL PL PT RO SE SI SK TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 04762971

Country of ref document: EP

Kind code of ref document: A1