Federalnoe gosudarstvennoe byudzhetnoe obrazovatelnoe uchrezhdenie vysshego obrazovaniya "Severo-Zapadnyj gosudarstvennyj meditsinskij universitet im. I.I. Mechnikova" Ministerstva zdravookhraneniya R
发明人:
TSivyan Boris Lvovich,Цивьян Борис Львович,Mekoshvili Kristina Vladimirovna,Мекошвили Кристина Владимировна,Vardanyan Samvel Valerevich,Варданян Самвел Валерьевич
申请号：
RU2015128369/14
公开号：
RU0002593236C1
申请日:
2015.07.13
申请国别(地区):
RU
年份:
2016
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to obstetrics and gynaecology. Method comprises making rear colpotomy and removing uterus and/or myomatous nodule/modules into vagina, before that on a posterior wall of uterus at its centre line making ligatures of absorbable suture material at a depth of 5-7 mm by means of needle holder L24 cm and needle MN-1 2-0, followed by taking ends of ligatures on clamp and pulling of uterus with help thereof outwards and upwards into vagina to maximum possible turning and removing uterus. Then 2-3 cm above previous suture, making following suture, using following ligature and previous Ligature is cut and pulling up uterus as in previous suture. Suturing is repeated more than once until complete withdrawal of uterus and/or myomatous nodule into vagina, application of each subsequent suture is performed at 2-3 cm higher than previous one. Then method includes removing myomatous nodule/modules, suturing bed of myomatous nodule/modules, uterus is immersed into abdominal cavity with its further drainage and closure of colpotomy wound.EFFECT: method enables to take into vagina uterus with localisation unit in its bottom, as well as in localisation unit along a posterior wall of uterus and its dimensions of 7-10 cm, which reduces conversions on laparotomy, reduces duration of operation, blood loss volume, eliminates necessity of blood transfusion, reduces postoperative soreness and consumption of analgesics, reduces patients stay in hospital, improves aesthetic effect of operation.1 cl, 2 exИзобретение относится к области медицины, а именно акушерству и гинекологии. Выполняют заднюю кольпотомию и выводят матку и/или миоматозный узел/узлы во влагалище, перед этим на заднюю стенку матки по ее средней линии накладывают шов с помощью лигатуры из рассасывающегося шовного материала на глубину 5-7 мм при помощи иглодержателя L24 см и иглы МН-1 2-0 с последующим взятием концов лигатуры на зажим и подтягиванием матки с ее помощью наружу и кверху
