METHOD OF OPERATIVE DELIVERY OF PATIENTS WITH INGROWN PLACENTA IN UTERUS SCAR Russian patent published in 2019 - IPC A61B17/42 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, particularly to obstetrics and gynecology. Bottom Cesarean section is performed; the fetus is removed through a uterine incision. Then, the umbilical residue going to the placenta is ligated and immersed into the uterus. Uterine incision is not closed without placenta extraction. Inconsistent uterine wall is incised, including a uterine aneurism with a portion of ingrown placenta within the healthy tissues, manual removal of the rest placenta tissue is performed, and the obtained defect is closed with the turnstile haemostasis. After the uterine incision is closed without removing the placenta into the vagina, a balloon is inserted and inflated, the vaginal branch of the uterine arteries and the puddle arteries. Turnstile hemostasis follows. Ascending branches of uterine arteries and ovarian arteries are clamped by placing the first tourniquet at the level of the upper end of the uterine aneurysm around the uterus body, grasping the uterine ligament with uterine tubes on one side with a single unit. After the uterus is separated from the bladder to the lower end of the uterine aneurysm, the uterine arteries are clamped by placing a second turnabout around the uterus at the level of the lower end of the uterine aneurysm. After excising an inconsistent uterine wall, including a uterine aneurism with a segment of ingrown placenta, closure of the obtained defect of the uterine wall, the tourniquets are removed.

EFFECT: method enables simultaneous improvement of hemostasis reliability, preservation of reproductive system organs.

6 cl, 1 ex