METHOD FOR REINFORCING ANASTOMOSIS OF ACTIVE UTERUS AND NEOVAGINA IN ADOLESCENT GIRLS SUFFERING FROM VAGINAL APLASIA ACCOMPANYING ATRESIA AND CERVICAL CANAL APLASIA
FEDERALNOE GOSUDARSTVENNOE BJUDZHETNOE UCHREZHDENIE "NAUCHNYJ TSENTR AKUSHERSTVA; GINEKOLOGII I PERINATOLOGII IMENI AKADEMIKA V.I. KULAKOVA" MINISTERSTVA ZDRAVOOKHRANENIJA ROSSIJSKOJ FEDERATSII
发明人:
CHUPRYNIN VLADIMIR DMITRIEVICH,Чупрынин Владимир Дмитриевич,BURALKINA NATALJA ALEKSANDROVNA,Буралкина Наталья Александровна,UVAROVA ELENA VITALEVNA,Уварова Елена Витальевна,KRUGLJAK DIANA ANATOLEVNA,К
申请号：
RU2014127370
公开号：
RU2557420C1
申请日:
2014.07.07
申请国别(地区):
RU
年份:
2015
代理人:
摘要：
FIELD: medicine.SUBSTANCE: uterine body is fixed to perineal muscles with the use of biological implants. After atheneovagina min 5 cm long has been formed from a laparoscopic approach, 4 Permacol strips are attached to anterior and posterior lateral uterine surfaces and fixed with Etibond sutures throughout 4 cm above the natural or conditionally labelled isthmic portion. Distal free ends of the implant are ligatured with Etibond Exelna sutures at 1, 5, 7 and 11 oclock on a conditional clock face. The perineal skin is incised 0.5-0.7 cm at 4 cm from the perineal body to insert a suture Glovers needle through the thickness of muscles alternately until its proximal end is penetrated into the abdominal cavity. The free ends of the ligatures of each of 4 implants are retained in turns in the Glovers needle. They are separately pulled out through the skin incisions and tightened with implant strips traction through the perineal muscles the uterus is brought down the ligatures are tightened together subcutaneously.EFFECT: method enables forming an artificial vulva socket to decrease the distance of the uterus and neovaginal vault, reducing a risk of circular one-row suture cutting between the uterus and neovaginal walls and promotes creating favourable conditions for the adequate tissue fusion, preserving the uterus and makes it possible to implement the reproductive function in the future.2 exИзобретение относится к медицине, в частности к акушерству и гинекологии. Фиксируют тело матки к мышцам промежности с использованием биологических имплантов. После формирования неовлагалища длиной не менее 5,0 см лапароскопическим доступом к передней и задней боковым поверхностям матки прикрепляют и фиксируют нитями Этибонд 4 ленты имплантата Пермакол на протяжении 4 см выше естественного или условно-обозначенного истмического отдела. На дистальные свободные концы имплантата накладывают лигатуры из нитей Этибонд Эксельна 1, 5, 7 и 11 часах условного циферблата. На расстоянии 4 см о
