| 摘要 |
A procedure for treating pelvic organ prolapses in a female patient using a synthetic, biological or mixed implantable prosthesis includes steps of: a) preparing the patient as for a conventional laparoscopy; b) performing rectovaginal dissection down to the levator-ani; c) dissecting the vesico-vaginal space, preferably up to the bladder trigone; d) providing a two part prosthesis including an anterior part and a posterior part, each having a central body and two arm like strap portions; e) placing the posterior part into the rectovaginal space and pressing through and anchoring posterior strap portions into the right and left puborectal muscles; f) placing anterior part into the vesico-vaginal space; g) passing the anterior strap portions, once or twice, through holes of the posterior part and attaching to the uterosacral ligaments; h) adjusting concerned organs by applying tension to strap portions; i) closing the patient.
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