Apparatus and method for repairing vaginal reconstruction

Abstract

A system for treating vaginal prolapse including two implants, each implant including a mesh support portion and two mesh extension portions, wherein for each implant the support portion is capable of contacting vaginal sulcus tissue while the two extension portions extend to tissue of an obturator foramen. The implant may include a mesh strip, with the support portion having a length between 4 and 6 centimeters, with the total length of the mesh strip being between 15 and 20 centimeters, and with the mesh strip being of substantially uniform width in the range from 0.5 to 1.3 centimeters. The implant may include two sutures, with one suture connected at each opposing end of the implant, and/or the implant may include one or multiple sutures connected along a length of the implant.

1 . An implant system for treating vaginal prolapse using a paravaginal anterior vaginal reconstruction technique, the implant system comprising:
 a first support portion attachable to vaginal sulcus tissue on a left side of a vagina, and first and second extension portions extending from opposite ends of the first support portion, wherein the first and second extension portions are extendable to the tissue of a left obturator foramen when the first support portion is attached to vaginal sulcus tissue; and   a second support portion attachable to vaginal sulcus tissue on a right side of the vagina, and third and fourth extension portions extending from opposite ends of the second support portion, wherein the third and fourth extension portions are extendable to the tissue of a right obturator foramen when the second support portion is attached to vaginal sulcus tissue.   
     
     
         2 . The implant system of  claim 1 , wherein each of the first and second extension portions comprises a distal end from which a guide suture extends 
     
     
         3 . The implant system of  claim 2 , wherein each of the guide sutures is engageable with a helical insertion tool. 
     
     
         4 . The implant system of  claim 1 , wherein the first support portion comprises multiple placement sutures located between its ends along at least a portion of its length, wherein the placement sutures are attachable to vaginal sulcus tissue. 
     
     
         5 . The implant system of  claim 1 , further comprising a removable sheath that covers the first support portion and at least portions of the first and second extension portions.