METHOD FOR INTEGRATED TREATMENT OF INTRAUTERINE SYNECHIAE Russian patent published in 2024 - IPC A61B17/42 A61N7/00 A61N1/30 A61K31/57 A61K31/365 A61K31/728 A61P15/08 

FIELD: medicine; gynecology.

SUBSTANCE: hysteroresectoscopy with adhesiolysis by sharp dissection using scissors is performed. Thereafter, 3 ml of antiadhesive gel of highly purified sodium salt of hyaluronic acid and carboxymethyl cellulose is injected intraoperatively into the uterine cavity. A cycle of cyclic hormone therapy using transdermal estrogens and micronized progesterone is prescribed from 17th to 26th day of the cycle for three menstrual cycles. From 6th day of the cycle to the following month after the operation, an ultrasound therapy is performed daily in course of 15±5 procedures per a projection of the pelvic organs using a radiating head with diameter of 5 cm, frequency 1 MHz, pulse mode, incident power flow density and increasing duration from 0.2 to 1 W/cm² and from 2 to 10 minutes, the contact medium is gel. Immediately before the ultrasound therapy procedure, 15±5 abdominal-vaginal-sacral intracavitary electrophoresis procedures are performed iodine by galvanic current of duration from 6 to 20 minutes, current intensity from 12 to 32 mA.

EFFECT: method enables to reduce the frequency of recurrent intrauterine synechiae after surgical treatment by 3.5 times compared to the standard method, restore the normal anatomy of the uterine cavity, normalize the phases of the endometrium in accordance with the day of the menstrual cycle.

1 cl, 2 dwg, 2 ex