Patent ID: 9480546
Filing Date: 2016-11-01
CPC Classification: A61B,A61F

Claim Text:
1. A method of treating hysteropexy comprising: creating a peritoneal incision just above a rectum; separating the rectum from a posterior aspect of a vagina by dissection until a perineal body is reached and levator muscles are exposed; penetrating a bladder peritoneum overlying a sacral promontory and inferiorly dissecting from a posterior cul de sac; identifying and clearing off an anterior longitudinal ligament and presacral vessels on the sacral promontory; manipulating a uterus to create a vesicouterine fascia incision and bladder flap; dissecting vesicovaginal space to separate a bladder from an anterior aspect of the vagina until a level of a trigone is reached; creating broad ligament incisions on each side near a cervix; inserting a hysteropexy mesh and attaching by suture a posterior vaginal portion of the hysteropexy mesh to a posterior aspect of the vagina, the hvsteropexv mesh further including passing the anterior vaginal portion of the hysteropexy mesh configured in a folded state and the right and the left broad ligament portions of the hysteropexy mesh through the broad ligament incision on a left; unfolding the anterior vaginal portion of the hvsteropexy mesh and attaching by suture to an anterior aspect of the vagina; passing the right broad ligament portion of the hysteropexy mesh through the broad ligament incision on a right; manipulating the uterus and attaching the right broad ligament portion of the hysteropexy mesh to the posterior vaginal portion of the hvsteropexv mesh and a posterior aspect of the cervix; attaching the sacral portion of the hysteropexy mesh to an anterior longitudinal ligament at a level of an S1 vertebrae by suture in a tension free fashion; closing a peritoneal incision made on a sacrum by suture and cover with the bladder peritoneum using another suture; and closing incisions to complete the method.