Patent ID: 9149351
Filing Date: 2015-10-06
Classification: A61B,A61F

Abstract:
1. A method of treating cystocele with a system comprising first and second implants, each implant comprising a mesh support portion and two mesh extension portions, wherein the mesh support portion of each implant is configured for contacting vaginal sulcus tissue while the two mesh extension portions extend to tissue of an obturator foramen, the method comprising: making an upper vaginal midline incision; passing the first implant through the vaginal incision; placing the mesh support portion of the first implant in contact with lateral vaginal tissue on a left side of the vagina; making a superior left external incision at an inner thigh adjacent to a left obturator foramen; preparing a tissue path between the superior left external incision and the lateral vaginal tissue on the left side of the vagina; passing a first mesh extension portion of the first implant through the tissue path between the superior left external incision and the lateral vaginal tissue on the left side of the vagina; making an inferior left external incision at the inner thigh adjacent to the left obturator foramen; preparing a tissue path between the inferior left external incision and the lateral vaginal tissue on the left side of the vagina; passing a second mesh extension portion of the first implant through the tissue path between the inferior left external incision and the lateral vaginal tissue on the left side of the vagina; passing the second implant through the vaginal incision; placing the mesh support portion of the second implant in contact with lateral vaginal tissue on a right side of the vagina; making a superior right external incision at the inner thigh adjacent to a right obturator foramen; preparing a tissue path between the superior right external incision and the lateral vaginal tissue on the right side of the vagina; passing a third mesh extension portion of the second implant through the tissue path between the superior right external incision and the lateral vaginal tissue on the right side of the vagina; making an inferior right external incision at the inner thigh adjacent to the right obturator foramen; preparing a tissue path between the inferior right external incision and the lateral vaginal tissue on the right side of the vagina; and passing a fourth mesh extension portion of the second implant through the tissue path between the inferior right external incision and the lateral vaginal tissue on the right side of the vagina.