SURGICAL METHOD FOR TREATING THE CASES OF FALLING OF THE WOMB AND INCOMPLETE PROLAPSE OF THE UTERUS

摘要

medicine. SUBSTANCE: method involves separating triangular flap from the vagina with external surface of the uterine cervix being involved. Incision is continued around the whole uterine cervix through ruptures. Rupture boundaries are cut wedge- like. Rectangular mucous flaps are separated turned with one side towards the vagina. The injured portion of the uterine cervix around the external ostium of the uterine cervix is excised as cone turned towards the internal ostium of the uterus. The sutures are put layer-by-layer on the muscle tissue of renewed rupture edges. Cardinal ligaments are cut, legated and sutured to each other in front of the uterus. The neighboring flaps are used when putting-in sutures. The sutures are put in beginning from the position o.5 cm remote from the external angle of a flap. Ligature end is conducted from the cervical canal through the whole thickness of the muscular cervix tissue layer to the separated mucous membrane of the cervix 1.5- 2 cm higher and somewhat outward from the first pierce. Then, the other end of the same ligature and the ligature path is repeated near the first one using an adjacent flap. The ligature ends are tied connecting in this way the lateral edges of the separated flaps radially in the 12 o'clock position and at the places of former ruptures. External edges of the flaps are turned down into the cervical canal. Anterior colporrhaphy is carried out. Posterior colporrhaphy with perineolevatoroplastic repair are carried out. EFFECT: enhanced effectiveness in restoring uterus cervix and vagina functions. 4 dwg