METHOD FOR CONSERVATIVE SURGERY IN PATIENTS WITH CONSIDERABLE PLACENTA Russian patent published in 2016 - IPC A61B17/42 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, particularly to obstetrics and gynaecology. Abdominal cavity is opened. Foetus is removed through an incision of uterus. Umbilical residue going to placenta is tied up and immersed in uterus. Double-row suture is performed to sew up incision on uterus without placenta. Common femoral arteries are dotted on both sides and then installing and inflating balloons in common iliac arteries. Method includes performing excision of thinned portion of front wall of uterus with placenta attached pathologically after occlusion of common iliac arteries. Method includes superimposing on double-row suture uterine incision. Method includes extraction of fetus through longitudinal section in body of uterus in free zone of placenta, tying up umbilical residue at placenta and cutting off its free end. Uterine incision is sutured with two rows of stitches, first superimposing continuous seam, and then - a number of individual joints, immersing first seam inside, closing with a second row of sutures of first suture. Bladder is then separated from uterus in region of its edges is continued separation of each other, displaced medially and down towards vagina so that tunnels formed below zone meet below zone of growth of placenta. Traction of uterus and bladder is then performed in opposite directions in sagittal plane, sharing between them, then thinned section of front wall of uterus with subject, placental pathologically within resected normal tissue, rest of placenta is removed by hand. In placental bed of part of uterus is applied haemostatic sutures, and then uterine incision in lower segment of sutured double-row suture: first row of a continuous, second row - individual joints, and then to lower segment of anterior wall of uterus further impose one or two figure-eight haemostatic suture, reducing volume of lower uterine segment.

EFFECT: method enables to reduce intraoperative injuries, providing reliable homeostatis in placental bed, reducing number of intra-and postoperative complications.

1 cl, 2 ex