The method of administering drugs to the uterus

 

(57) Abstract:

The invention relates to medicine, gynecology, may be used with the introduction of anticancer agents in cancer of the uterine body. Pierce the wall of the uterus in the angle. Advance the needle to the opposite corner of the uterus through the uterine cavity closer to the bottom. Through a needle carried microirrigation with perforated holes. The needle is removed. On the skin determines the external opening of the inguinal canal. Through the skin into it the needle. Advance the needle through all uterine ligament to the uterus, the free end of microirrigation coming from the uterus, promote needle. Take the end of microirrigation through the external opening of the inguinal canal. The same manipulation is repeated with the second end of microirrigation on the other hand. Injected medicines through microirrigation. The method provides a tabulation of drugs in a certain location of the tumor.

The invention relates to medicine, namely to gynecology, and can be used with the introduction of anticancer agents, cancer patients with cancer of body of uterus, with the introduction of drugs in inflammatory processes in the uterine cavity, the drainage is in the uterus (ed. mon. 1143398 from 07.03.85, BI 9) to improve the accuracy of diagnosis of lesions of the uterus and reduce complications, the radiopaque medium injected into the muscle of the uterus from the anterior and posterior vaginal vault.

However, this method is only for the diagnosis of tumors in the uterine wall and can not be applied for therapeutic purposes.

There is a method of treatment of cancer of the uterus (ed. mon. 1103390, 1981), namely, that with the purpose of improving operability chemotherapy drugs administered in all uterine ligaments disposable through the day with simultaneous endolymphatic introduction of chemotherapy in the lower limbs, 1 every 10 days.

However, this route of administration of antineoplastic chemotherapy positive at a single contact of chemotherapy to improve interoperability, but ineffective when prolonged contact chemotherapy.

Known "Method of chemotherapy for uterine cancer" (abstract. Prof. thesis "Some aspects of diagnosis, treatment and clinical examination oncological patients" ed. Sidorenko, Y. S., M. 1987), chosen as a prototype. The method includes the introduction of anticancer agents into the uterus by holding the catheter through tx2">

However, this method has drawbacks: the use of the method does not provide a summary of anticancer drugs directly to the desired location of the tumor chemotherapy for contact by a certain adjustable time, does not ensure the prevention and treatment of inflammatory diseases in the uterus drugs, conducting hydrotubation, drainage, removal of drugs from the uterus if necessary.

The aim of the invention is the summing up of drugs in certain tumor location for the required period of time, targeted anti-inflammatory treatment, hydrotubation and drainage.

This goal is achieved by the fact that pierce the wall of the uterus in her corner, advance the needle to the opposite corner of the uterus through the uterine cavity near the bottom, through a needle carried microirrigation, provided in the middle of the perforated holes, not outside the uterine cavity, the needle is removed; by palpation on the skin define fork round uterine ligaments, the external opening of the inguinal canal, through the skin in his needle, advance it through the thick round uterine ligaments down on the via the external opening of the inguinal canal; the same manipulation is repeated with the second end of microirrigation, tighten the ends of microirrigation, move the perforated holes of microirrigation, cervical channel block locking device, injected drugs through microirrigation.

The invention "Method of administering drugs in the womb" is new, because it is unknown the level of medicine in the field of administration of drugs into the uterus.

The novelty of the invention lies in the fact that the uterine cavity is injected perforated in the centre of microirrigation, derived through a round of uterine ligament, inguinal canal, out for further manipulations. The cervical channel block locking device. Through the ends of microirrigation injected drugs.

The invention involves an inventive step, as for a specialist surgeon-gynecologist is not obvious from the level of medicine in the field of administration of drugs to the uterus during chemotherapy cancer of body of uterus, treatment of inflammatory diseases of uterus, hydrotube, drainage, to carry out targeted contact chemotherapy in a certain mode, place impacts the sources of information - Russia, CIS and abroad could not find a similar proposed method of administering drugs into the uterus in various diseases of the uterus.

The invention "Method of administering drugs in the womb" can be used in health care for treatment of diseases of the uterus and reproduced in various medical institutions, research institutes, scientific research Institute of Oncology, oncologic dispensaries.

"Method of administering drugs in the womb" is as follows. Pierce the wall of the uterus in her corner, advance the needle to the opposite corner of the uterus through the uterine cavity near the bottom, through a needle carried microirrigation, provided in the middle of the perforated holes, not outside the uterine cavity, the needle is removed. Palpable on the skin define fork round uterine ligaments, the external opening of the inguinal canal, through the skin in his needle, advance it through the thick round uterine ligaments up to its attachment to the uterus. The free end of microirrigation coming from the uterus, promote needle and out through the external opening of the inguinal canal. Similarly with the other hand take a second end of microhabitat. Through the ends of microirrigation bred in the groin area, enter the drugs that come into the uterine cavity through the perforated holes of microirrigation.

An example of a specific implementation of the Method of administering drugs in the womb".

Patient N., East. disease 1431, 27 years old, he enrolled in the gynecological Department of the Rostov research Institute of Oncology with a diagnosis of tubal infertility. From the anamnesis: childbirth - 0, pregnancy - 1 ended in induced abortion at the age of 19, items. oophoritis. The diagnosis of tubal infertility is set on the basis of history, clinical examination, hysterosalpingography. Classification Hulka set II senior adhesions. The patient was performed surgery in the volume of visceralis, salpingolysis, after which the uterine cavity was drained through a round of uterine ligaments of the proposed method: puncture the uterine wall in her corner, advance the needle to the opposite corner of the uterus through the uterine cavity near the bottom, through a needle carried microirrigation, provided in the middle of the perforated holes, not outside the uterine cavity, the needle is removed. Palpable on the skin determine Razvilka the cut thick round uterine ligaments up to its attachment to the uterus. The free end of microirrigation coming from the uterus, promote needle and out through the external opening of the inguinal canal. Similarly with the other hand take a second end of microirrigation through the external opening of the inguinal canal. Then the cervical channel block locking device. Through the ends of microirrigation bred in the groin area, enter the drugs that come into the uterine cavity through the perforated holes of microirrigation.

Later in the postoperative period were hydrotubation with the use of anti-inflammatory drugs, vitamins, as follows: the outer opening of the cervical canal was blocked by a positive fastening device, and through the ends of microirrigation located in the groin area, was introduced anti-inflammatory drugs in the uterus. The drug through the perforated holes of microirrigation falls into both fallopian tubes and through them is hydrotubation prophylactic to prevent adhesive processes fallopian tubes, infertility. The patient was discharged in satisfactory condition. After 6 months the patient became pregnant. Pregnancy without complications. Delivery planning is and administering drugs in the womb" is the application of the method provides a summary of anticancer drugs directly to the location of the tumor, ensuring contact of chemotherapy in the closed space of the uterus to the time required for effective treatment, at the end of the exposure time of chemotherapy through the stub chemotherapy drugs are removed. Perhaps the announcement of drugs in inflammatory processes in the uterus, drainage, hydrotubation, prevention of diseases by regulating the position of the punched holes of microirrigation for his ends.

The method of administering drugs to the uterus, including microirrigation through all uterine ligament, characterized in that pierce the wall of the uterus in her corner, advance the needle to the opposite corner of the uterus through the uterine cavity near the bottom, through a needle carried microirrigation, provided in the middle of the perforated holes, not outside the uterine cavity, the needle is removed, is palpable on the skin define fork round uterine ligaments, the external opening of the inguinal canal, through the skin in his needle, advance it through the thick round uterine ligaments up to its attachment to kirstie of the inguinal canal, the same manipulation is repeated with the second end of microirrigation on the other hand, tighten the ends of microirrigation, moving the perforating holes, cervical channel block locking device, injected drugs through microirrigation.

 

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