Minimal Access Surgery for Vaginal Descents
Pelvic organ prolapse occurs when pelvic structures like the bladder or rectum, bulge or protrude into the vaginal wall. It is one of the pathological diseases that frequently affect the quality of life in women prolapse repair is indicated for relief of symptoms, restoration of the normal anatomy and function of the pelvic structures, prevention of recurrence and repair of concomitant defects. The grafts used for repair are classified according to their materials. These materials include autologous tissue, allografts, xenografts and synthetic grafts (absorbable and nonabsorbable). Synthetic grafts are permanent and if properly positioned and secured, yield better long-term success rates Meshes have, therefore been used in cystocele and rectocele repair. The Gynecare Prolift pelvic floor repair system (GPS) comprises a synthetic mesh placed via a transvaginal approach. The Apogee procedure corrects rectum (rectocele). The perigee procedure corrects bladder prolapsed (cystocele).