FIELD: medicine; obstetrics and gynaecology.
SUBSTANCE: ligature of synthetic absorbable suture material with needles at the ends is used, suturing is started from the corner of the wound, with a running suture, as shown in Fig. 1. Injections are carried out from the bottom of the wound, a ligature is carried out through all layers with incisions on the serous membrane of the uterus at a distance of 1 cm from the edge. Next, knot the ends of the ligature in a direction perpendicular to the wound. Having displaced 0.5 cm from the last suture, ligatures are carried out over the aligned edges of the wound, the wound is continued to be sutured to the opposite corner of the wound with a distance of 0.5 cm between the stitches.
EFFECT: method allows to reduce the amount of suture material used, reduce tissue ischemia and trauma, reduce the time required for wound closure, which in turn reduces blood loss during surgery, reduce the likelihood of suture sagging, which is possible for a continuous suture, that is, when one is relaxed, the rest continue to hold compression.
1 cl, 1 dwg, 2 ex
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Authors
Dates
2023-02-28—Published
2021-03-30—Filed