METHOD FOR INTEGRATED TREATMENT OF POSTPARTUM ENDOMETRITIS IN SUTURE INCONSISTENCY ON UTERUS AFTER CAESAREAN SECTION BY CONTROLLED NEGATIVE PRESSURE

FIELD: medicine.SUBSTANCE: therapeutic-diagnostic laparoscopy is performed, during which sanation of small pelvis with 0.5 % chlorhexidine solution is carried out. Removing collected effusion, in front of and behind uterine space draining with silicone tubes with diameter of 8-9 mm. Under laparoscopic control hysteroscopy is carried out with washing of uterine cavity with 0.5 % chlorhexidine solution. Double-barreled silicone tube with diameter of 6 mm is passed through uterine cavity, its intrauterine part is wrapped with foam sponge, impregnated with activated carbon, tube is anchored to cervix by separate vicryl suture. Tight cap is worn on neck of uterus, 400 ml of 0.5 % solution of dioxydine at temperature +2...+4 °C is fed through tube into uterine cavity fractionally every 8 hours. Sprinkling with 400 ml of ozonised 0.9 % saline solution with simultaneous aspiration of content of cavity and continuously maintaining negative pressure in uterine cavity within range of 50-70 mm Hg using a RENASYS GO device and simultaneously through silicone tubes located in front of and behind uterine spaces, into abdominal cavity is fed ozonised saline solution in amount 400 ml twice a day with exposure of 30 minutes. Treatment is performed with underlying uterotonic, antibacterial therapy.EFFECT: method enables to localise process within lesser pelvis, creates conditions for distinction of process, keeps moist environment, stimulating angiogenesis, reinforcing fibrinolysis, promotes functioning growth factors, thereby improving blood circulation in wall of uterine cavity, considerably reduces possibility of contamination of pathological microflora in uterine wall thickness, thus reduces inflamed tissue oedema, improves contractile function of uterus, cleansing and regression of inflammatory process in endometrium and myometrium.1 cl, 1 ex Изобретение относится к медицине, а именно к акушерству и гинекологии. Выполняют лечебно-диагностическую лапароскопию, во время которой проводят санацию малого таза 0,5% раствором хлоргексидина. Удаляют накопившийся выпот, впереди и позади маточные пространства дренируют силиконовыми трубками диаметром 8-9 мм. Под контролем лапароскопа проводят гистероскопию с промыванием полости матки 0,5% раствором хлоргексидина. Затем в полость матки вводят двухпросветную силиконовую трубку диаметром 6 мм, обматывают внутриматочную ее часть поролоновой губкой, импрегнированной активированным углем, трубку подшивают к шейке матки отдельным викрил