Kulikov Ilyas Aleksandrovich (RU),Куликов Ильяс Александрович (RU),Belousova Tamara Nikolaevna (RU),Белоусова Тамара Николаевна (RU),Sovaev Nikolaj Ivanovich (RU),Соваев Николай Иванович (RU),Plakhoti
申请号：
RU2019118817
公开号：
RU0002706368C1
申请日:
2019.06.18
申请国别(地区):
RU
年份:
2019
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, particularly to obstetrics and gynecology. Bottom Cesarean section is performed； the fetus is removed through a uterine incision. Then, the umbilical residue going to the placenta is ligated and immersed into the uterus. Uterine incision is not closed without placenta extraction. Inconsistent uterine wall is incised, including a uterine aneurism with a portion of ingrown placenta within the healthy tissues, manual removal of the rest placenta tissue is performed, and the obtained defect is closed with the turnstile haemostasis. After the uterine incision is closed without removing the placenta into the vagina, a balloon is inserted and inflated, the vaginal branch of the uterine arteries and the puddle arteries. Turnstile hemostasis follows. Ascending branches of uterine arteries and ovarian arteries are clamped by placing the first tourniquet at the level of the upper end of the uterine aneurysm around the uterus body, grasping the uterine ligament with uterine tubes on one side with a single unit. After the uterus is separated from the bladder to the lower end of the uterine aneurysm, the uterine arteries are clamped by placing a second turnabout around the uterus at the level of the lower end of the uterine aneurysm. After excising an inconsistent uterine wall, including a uterine aneurism with a segment of ingrown placenta, closure of the obtained defect of the uterine wall, the tourniquets are removed.EFFECT: method enables simultaneous improvement of hemostasis reliability, preservation of reproductive system organs.6 cl, 1 exИзобретение относится к медицине, а именно к акушерству и гинекологии. Выполняют донное кесарево сечение, извлекают плод через разрез матки. Далее перевязывают идущий к плаценте пуповинный остаток и погружают его в матку. Ушивают разрез матки без извлечения плаценты. Иссекают несостоятельную стенку матки, включающую маточную аневризму с участком вросшей плаценты в пределах здоровы
