Methods and systems for treatment of prolapse
First Claim
1. A method of supporting posterior vaginal tissue, the method comprisingproviding an implant comprising a tissue support portion and an extension portion extending from the tissue support portion,contacting the support portion with posterior vaginal tissue,producing a tissue path that passes between a position of the tissue support portion and a region of an arcus tendineus, wherein the region of the arcus tendineus comprises a region from 2 centimeters above the arcus tendineus to the arcus tendineus and between an ischial spine and a distance 3 centimeters anterior to the ischial spine, wherein the tissue path does not extend to an external incision,wherein the tissue path passes above the arcus tendineus through an obturator internus muscle, and wraps around the arcus tendineus, andextending the extension portion through the tissue path.
14 Assignments
0 Petitions
Accused Products
Abstract
Described are implants, tools, and related methods, for use in pelvic surgery to treat conditions such as prolapse, including embodiments of methods that involve a tissue path above the arcus tendineus.
-
Citations
13 Claims
-
1. A method of supporting posterior vaginal tissue, the method comprising
providing an implant comprising a tissue support portion and an extension portion extending from the tissue support portion, contacting the support portion with posterior vaginal tissue, producing a tissue path that passes between a position of the tissue support portion and a region of an arcus tendineus, wherein the region of the arcus tendineus comprises a region from 2 centimeters above the arcus tendineus to the arcus tendineus and between an ischial spine and a distance 3 centimeters anterior to the ischial spine, wherein the tissue path does not extend to an external incision, wherein the tissue path passes above the arcus tendineus through an obturator internus muscle, and wraps around the arcus tendineus, and extending the extension portion through the tissue path.
-
11. A method of supporting posterior vaginal tissue, the method comprising
providing an implant comprising a tissue support portion and an extension portion extending from the tissue support portion, contacting the support portion with posterior vaginal tissue, producing a tissue path that passes between a position of the tissue support portion and a region of an arcus tendineus, wherein the region of the arcus tendineus comprises a region from 2 centimeters above the arcus tendineus to the arcus tendineus and between an ischial spine and a distance 3 centimeters anterior to the ischial spine, and through an obturator internus muscle, wraps around the arcus tendineus, and passes through a levator ani muscle back into a pelvic region, wherein the tissue path does not extend to an external incision, and extending the extension portion through the tissue path.
-
12. A method of supporting posterior vaginal tissue, the method comprising
providing an implant comprising a tissue support portion and an extension portion extending from the tissue support portion, contacting the support portion with posterior vaginal tissue, producing a tissue path between a position of the tissue support portion and a region of an arcus tendineus, wherein the region of the arcus tendineus comprises a region from 2 centimeters above the arcus tendineus to 2 centimeters below the arcus tendineus and between an ischial spine and a distance 3 centimeters anterior to the ischial spine, and extending the extension portion through the tissue path, wherein the tissue path passes above the arcus tendineus to exit a pelvic region through an obturator internus muscle, wraps around the arcus tendineus, and passes through a levator ani muscle back into the pelvic region.
-
13. A method of supporting posterior vaginal tissue, the method comprising
providing an implant comprising a tissue support portion and an extension portion extending from the tissue support portion, contacting the support portion with posterior vaginal tissue, producing a tissue path between a position of the tissue support portion and a region of an arcus tendineus, wherein the region of the arcus tendineus comprises a region from 2 centimeters above the arcus tendineus to 2 centimeters below the arcus tendineus and between an ischial spine and a distance 3 centimeters anterior to the ischial spine, and extending the extension portion through the tissue path, wherein the tissue path passes above the arcus tendineus through an obturator internus muscle, wraps around the arcus tendineus, passes through a levator ani muscle back into the pelvic region, and continues through a buttock and through an external incision in a perirectal region.
Specification