Articles, devices, and methods for pelvic surgery

摘要

Described are implants, tools, and related methods, for use in pelvic surgery to treat conditions such as prolapse and incontinence, including one embodiment of a method that uses a transcoccyx tissue path; other embodiments that use particular implants with various features relating to, e.g., end portions; and other embodiments relating to particular tools.

主权项

1. A method for supporting vaginal tissue, the method comprising
providing an implant comprising a tissue support portion, two end portions extending from the tissue support portion, and a dilator at a distal end of each end portion, the dilator being capable of engaging an insertion tool so the insertion tool is capable of pushing the dilator through tissue, providing an insertion tool comprising a distal end that is capable of engaging at least one of the dilators, creating a vaginal incision, placing the tissue support portion through the vaginal incision and in contact with vaginal tissue in a position to support the vaginal tissue, extending and anchoring one of the end portions to an internal anchoring point at a coccyx region bounded by an upper edge of a sacrospinous ligament, a tip of a coccyx bone, a point approximately 2.5 centimeters lateral to the tip of the coccyx bone, and an ischial spine, engaging a distal end of the insertion tool with each dilator, and using the insertion tool to push each dilator.