[Surgical treatment of prolapsed uterus and vagina using the RFV (reposition and fixation of the vagina) method R. Napierala].

OBJECTIVES

I am presenting a new and personal method of surgical treating a uterovaginal prolapses using vaginal approach.

MATERIAL AND

METHODS

From 30th July to 30th November 2004, 12 patients between the ages of 40 and 83 years were operated on using the RFV method. The RFV Surgical Method is a new, inexpensive and technically simple procedure with little risk of complications using vaginal approach. It involves repositioning a prolapsing vagina and uterus to their proper positions as well as stabilizing them with the use of circular, parallel, non-absorbent sutures on the vagina and then the formation of scar tissue around the sutures.

RESULTS

After the surgical procedures, all 12 patients anatomical relations returned to normal. There was only one incident where absorbent sutures were used and 2 months after surgery the uterus once again began to prolapse. The patient was operated on once again using nonabsorbent sutures and to this day, four months after surgery, there is no evidence of the uterus or vaginal walls descending.

CONCLUSIONS

The above named surgical procedure is recommended for older women who also suffer from other illnesses which might disqualify them from undergoing more traditional, extensive procedures. Preliminary results have been introduced at work of 12 patients operated on using this method.