LAPAROSCOPY METHOD FOR TREATING PATIENTS FOR MALIGNANT OVARY TUMORS AFTER NON-RADICAL OPERATION Russian patent published in 2005 - IPC

FIELD: medicine.

SUBSTANCE: method involves carrying out laparoscopic intervention using three trocars. The first one is introduced with laparoscope in periumbilical area in a zone free of visceroparietal fusions. Two additional trocars are symmetrically introduced in the right and left iliac abdominal zones. Ovary resection is carried out with urgent histological examination and subtotal greater omentum resection is done. The patient is set in Fowler position. The greater omentum is moved to superior abdominal cavity tier above the transverse colon level using forceps. It is fixed in the large intestine splenic flexure area with a forceps introduced through a trocar arranged in the right iliac zone. The greater omentum is stretched in the anterior abdominal wall direction. The place the greater omentum is attached to the transverse colon is visualized. The greater omentum stage-by-stage resection is carried out using ultrasonic scalpel at the level of omental ribbon of the transverse colon on an interval from splenic to hepatic flexure of the colon. To avoid injuries of the transverse colon, minimum required indent from the colon is done. Malignant ovary lesion being histologically confirmed, uterine appendages are excised or supravaginal amputation is carried out.

EFFECT: enhanced effectiveness of treatment; accelerated treatment and rehabilitation process; reduced risk of traumatic complications; improved cosmetic result.