METHOD OF SINGLE-FLAP RESECTION OF THE DOME OF THE VAGINAL STUMP IN LOCAL RECURRENCES OF UTERINE BODY CANCER, CERVICAL CANCER, SQUAMOUS INTRAEPITHELIAL DAMAGE TO THE VAGINA Russian patent published in 2023 - IPC A61B17/42 

FIELD: medicine; operative gynecology; oncology.

SUBSTANCE: site of the mucosal lesion is marked with an indent of 2 cm from the pathological focus. Using the hydropreparation method, a longitudinal mucosal flap is cut out as a single block, proximal to the external opening of the urethra with an indent of 2 cm from the nearest pathological area, the vaginal mucosa is dissected. The flap is separated as a single block without violating integrity, then the vaginal defect is sutured with looped interrupted sutures in the form of a “cross”, while two sutures are placed transversely along the anterior and posterior walls of the vagina, then the remaining sutures are applied longitudinally.

EFFECT: method improves postoperative rehabilitation of patients, reduces hospital stay, helps to avoid complications (narrowing of the vagina), helps to avoid radiation brachytherapy, and antitumor medicinal product therapy.

2 cl, 2 dwg, 1 ex