METHOD OF CAESAREAN SECTION WITH SUTURING OF UTERUS WITH 8-SHAPED CONTINUOUS SUTURE WITH ADAPTATION OF WOUND EDGES Russian patent published in 2023 - IPC A61B17/42 A61B17/04 

FIELD: medicine; obstetrics.

SUBSTANCE: invention can be used when suturing a uterine wound during a caesarean section. An incision on the uterus is made above pl. vesicouterina. To close a wound on the uterus, a separate suture is placed on one of the corners of the wound on the uterus and a knot is tied. The short end of the thread is left on the clamp, the long end is cut off. In the opposite corner of the wound, moving laterally from the edge of the wound, a separate suture is applied, an entry is made into the serous membrane of the uterus and myometrium to the full thickness and a needle exits symmetrically in the lower edge of the wound, and a knot is tied. Then an entry is made under the serous membrane of the uterus into the thickness of the myometrium to the inner layer of the uterine wall. The needle exits at the lower edge of the wound above the inner layer of the uterine wall. Then an injection is made on the opposite side into the thickness of the myometrium above the inner layer of the uterus, the needle is punctured in the upper edge of the wound under the serous membrane. Then an entry is made into the serous membrane from the inside out on the opposite side and the needle returned to the original side, stitching the serous membrane from the outside to the inside, the thread is pulled up until the edges of the wound in this area are matched. The manipulations are repeated until the wound is sutured along its entire length. Having reached the opposite corner, the thread is tied to the remaining short end of the thread. When applying a suture, a monofilament thread is used.

EFFECT: method ensures a reduction in the number of postoperative complications, incompetent scars, endometriosis of the scar, and an increase in the number of natural births in the group of women who underwent caesarean section.

1 cl, 5 dwg, 3 tbl, 2 ex