METHOD FOR SURGICAL TREATMENT OF LOCAL THINNING OF UTERINE SCAR WITH FORMATION OF "NICHE" AFTER CESAREAN SECTION Russian patent published in 2024 - IPC A61B17/42 A61B17/04 

FIELD: medicine; operative gynecology; reproductive surgery.

SUBSTANCE: peritoneum is opened and the scar area is examined during laparoscopy, a hysteroscope is introduced, a "niche" of the scar is determined from the side of the uterine cavity, after which thinned myometrium is laparoscopically visualized and excised. After that, the defect of the anterior wall of uterus is closed in two rows. After the defect of the anterior wall of uterus is closed, a transabdominal cerclage is applied with a Mersilene tape, during which tunnels are formed in a wide uterine ligament lateral to the uterine vessels. A posterior leaf of a wide uterine ligament is perforated above the level of sacro-uterine ligaments, and at the level of the internal pharynx, the Mersilene tape without needles is introduced through the tunnels in the direction from the back to the front lateral to the uterine vessels at the level of the internal pharynx, after which the tape is tied in front with intracorporeal knots.

EFFECT: method enables providing the effective combined correction of the local thinning of the uterine scar.

1 cl, 7 dwg, 2 ex