METHOD FOR DELAYED LOCOMOTOR STUMP REPAIR FOLLOWING CONVENTIONAL DISEMBOWELMENT Russian patent published in 2012 - IPC A61F9/07 

FIELD: medicine.

SUBSTANCE: once residual sclera is separated from adhesions, scleral flaps formed by primary repair are localised and separated from each other; then a scleral cup is stretched to an initial spherical shape; a volume of an expected orbital implant is measured by means of sphere-based descriptors; thereafter lateral edges of the scleral flaps are temporarily coupled, and a diametre of the created scleral window is measured. The scleral flaps are brought apart; a circular scleral incision is marked at first on the bottom of a scleral cavity, and then performed by means of a radio-wave knife wherein the centre is an optic disc, while a radius is a half-diametre of the scleral window as specified above; it is followed by neurectomy; then the created posterior semi-sphere is brought outside and treated. The scleral cup is also treated from inside with the implant inserted therein; and the scleral cup is finally repaired by jointing the lateral edges of the scleral flaps together by means of non-absorbable sutures. The posterior semi-sphere is placed on the Implant with its outer side upwards and circularly jointed with the repaired scleral cup by sutures. Thereafter, soft tissues are jointed together above the formed stump; a Tenon's space and a conjunctiva are sutured together in layers; in case of observing deficient soft tissues, suturing together is preceded by performing a horizontal incision of an upper conjunctival fornix. Soft tissue diastasis created herewith in the conjunctival fornix is closed by an autologous lip mucosa.

EFFECT: method enables providing more durable technique of delayed locomotor stump repair following previous convention Graefe's disembowelment, eliminating implant extrusion, ensuring creating a profile of an anterior stump optimal for prosthetic replacement, as well as performing a surgery needed in case of deformation of the conjunctival cavity with evident deficient tissues.

4 cl, 1 ex