METHOD FOR DOING OPERATIONS IN CASES OF CARCINOMA OF UTERINE CERVIX

摘要

FIELD: medicine. SUBSTANCE: method involves catching infundibulopelvic ligament, tearing internal sheet of the broad uterine ligament near its base. Peritoneum tearing is continued over the infundibulopelvic ligament. Peritoneum is dissected over the round ligament of the uterus 2-3 cm below the place it enters the uterus wall. Peritoneum is cut in vesicouterine space to the infundibulopelvic ligament of the opposite side of the peritoneum. Then, the peritoneum is dissected in inverse order from the round ligament of the uterus and infundibulopelvic ligament to the internal sheet of the broad ligament of the uterus. Lymphatic nodes and small pelvis fat are removed. Uterine blood vessels are ligated at the level of the isthmus. The uterine cervix is circularly exsected from the isthmus. Wound surface of the uterine cervix stump is circumferentially sutured with interrupted sutures. Needle enters from the side of uterus neck mucosa to the depth of 0.5 cm. Uterus neck extirpation is carried out. Non-sutured space of the uterine cervix stump is circularly opposed to vagina stump. The uterine cervix stump is sutured to the vagina stump. The dissected peritoneum of the small pelvis is sutured. EFFECT: prevented metastatic lesion and recurrence of carcinoma of the uterine cervix.