Systems and methods for treating a pelvic disorder
View Patent ↗Surgical instruments for pelvic repair can include straight portions and helical portions. Surgical methods for treating prolapse and other pelvic disorders can include passing a distal end region of the surgical instruments through pelvic tissue, associating an implant with the surgical instruments, and securing the implant in place to stabilize the vagina.
1. A surgical method for treating a pelvic disorder in a patient, comprising:
providing a first surgical instrument and a second surgical instrument, the first and second surgical instruments including a needle portion, the needle portion of the first and second surgical instruments having a generally straight portion and a helical portion having a distal end region, wherein the generally straight portion of at least one of the first and second instruments has a longitudinal axis and the helical portion has an axis that is not parallel to the longitudinal axis of the straight portion;
providing an implant;
creating an incision;
passing the distal end region of the first surgical instrument through the incision;
associating the implant with the first surgical instrument;
associating the implant with the second surgical instrument; and
securing the implant in place to stabilize at least a portion of a vagina.
2. The method of claim 1 , wherein creating the incision includes creating a vaginal incision.
3. The method of claim 2 , wherein the vaginal incision is at a region of an apex of the vagina.
4. The method of claim 1 , wherein providing the first and second surgical instruments includes providing at least one of the first and second surgical instruments adapted for right-handed use.
5. The method of claim 1 , wherein providing the first and second surgical instruments includes providing at least one of the first and second surgical instruments adapted for left-handed use.
6. The method of claim 1 , further including fixating the implant to the vagina.
7. The method of claim 1 , wherein providing the implant includes providing a mesh implant.
8. The method of claim 7 , wherein providing the mesh implant includes providing the mesh implant constructed at least in part of an absorbable material.
9. The method of claim 7 , wherein providing the mesh implant includes providing the mesh implant having a separable sleeve.
10. The method of claim 9 , wherein the implant includes at least one dilating end portion.
11. The method of claim 10 , wherein the at least one dilating end portion includes opposing dilating end portions.
12. The method of claim 1 , wherein passing the distal end region of the first surgical instrument through the incision further includes passing the first surgical instrument through an inferior part of an obturator foramen.
13. A surgical method for treating a pelvic disorder in a patient, comprising:
providing a first surgical instrument including a first needle portion, the first needle portion having a straight portion and a helical portion having a first distal end region, wherein the straight portion of the first instrument has a longitudinal axis and the helical portion has an axis that is not parallel to the longitudinal axis of the straight portion;
providing a second surgical instrument including a second needle portion, the second needle portion having a second distal end region;
providing an implant having one or more dilating ends;
passing the first distal end region through an incision on a first side of the patient;
associating the implant with the first surgical instrument;
associating the implant with the second surgical instrument; and
placing the implant to stabilize pelvic tissue.
14. The method of claim 13 , wherein the incision is a vaginal incision.
15. The method of claim 14 , wherein the vaginal incision is at a region of an apex of the vagina.
16. The method of claim 13 , wherein providing the first and second surgical instruments includes providing at least one of the first and second surgical instruments adapted for right-handed or left-handed use.
17. The method of claim 13 , further including fixating the implant to the vagina.
18. The method of claim 13 , wherein providing the implant includes providing a mesh implant.
19. The method of claim 13 , wherein the implant includes a separable sleeve.
20. The method of claim 13 , wherein the one or more dilating end includes opposing dilating ends.