Title : Minimally invasive methods of correction for vaginal opening and perineal deformities
Abstract:
Introduction: Various degrees of damage to the perineum and vaginal opening are common after vaginal delivery. These deformities can be either natural or post-traumatic. The above-mentioned causes result in complaints like discomfort during sexual intercourse, vaginal dryness, and frequent infections. In addition, generates discomfort from an aesthetic point of view in the patient.
Aim: The objective for minimally invasive methods is plastic repair of the perineal region; the condition improvement of the enlarged and deformed vagina by narrowing the entrance, both from a functional and aesthetic point of view.
Materials and methods: We created absorbable threads containing P(LA/CL) with barbs, which are used to stitch the perineal area and narrow the vaginal opening. The thread, which is 50 cm long, has mutually contradictory barbs, which ensure immediate fixation of the thread in the tissues. This thread is attached to 2 needles each 12 cm long, which have sharp tips on both sides. Both needles are implanted into the tissues at one entry point, namely the subcutaneous fatty tissue, perineal muscles, and fascia.
Result: The minimally invasive methods provide immediate and long-lasting results and are one of the main alternative to classic surgery.
Conclusion: The proposed methods have been used in practice for more than 5 years and provide both functional and aesthetic improvements within a short rehabilitation period. The methods compete with the classic surgical methods by allowing us to achieve the desired result in a short time without incisions and sutures under local anesthesia.
