FIELD: medical engineering.
SUBSTANCE: device has bushing having internal surface engageable with guide member and flexible disk-shaped sealing members. The flexible disk-shaped sealing members are placed in grooves on outer bushing surface. Maximum flexible disk-shaped sealing members dimensions grow when moving towards idle bushing end. The bushing has at least one additional flexible disk-shaped sealing member. Additional flexible disk-shaped sealing member dimensions are equal to maximum flexible disk-shaped sealing member dimensions. Flexible disk-shaped sealing member having minimum dimensions and flexible disk-shaped sealing member placed near the former one have common surfaces rounded near the working bushing end. Flexible disk-shaped sealing member having maximum dimensions and at least one additional flexible disk-shaped sealing member have guide members with symmetrically rounded edges. The rounded guide members are conjugated with bevels. The bevels are produced on flexible disk-shaped sealing members on the working bushing end side and are equal in length to at least 1/4 times difference between external bushing diameter and maximum size of additional flexible disk-shaped sealing member. Locking member is available on the idle bushing end side.
EFFECT: improved surface engagement conditions of obturator and vagina; facilitated surgeon working conditions.
3 cl, 3 dwg
The invention relates to surgical instruments and can be used in gynecology, for example when performing a laparoscopic hysterectomy.
The known device for the object of the vagina, used in surgical instruments, in particular when performing a hysterectomy with laparoscopic access or for the extraction of tissue (see, respectively, RU # 2167623, 1999 and EN No. 2197187, 2001).
These devices are inflatable latex cuffs, which are fixed on the movable sleeve, movable on a guide or mandrel consisting of a removable sleeve, arms and tapered tip.
The use of such devices provides a seal of the vagina during surgery, however, the inflatable cuff is structurally complex and short-lived, because in the process of exploitation of its material, as a rule, gradually loses its elastic properties due to processing in the sterilization environments.
Closer to the present invention is a vaginal obturator containing sleeve having an inner surface at the guide and placed on the outer surface of the sleeve elastic disc-shaped seals, the maximum size of which increases toward the outside end of the sleeve (see Industrial directory KARL STORZ Gmbh & Co "THE WORLD OF ENDOSCOPY, LAPAROSCOPY" 3 rd edition 1/98, GYN-ACC 9B, 10B, 11A, 12A").
Vaginal obturator company KARL STORZ has a simple structure and convenient in operation, but the form of its disc-shaped elastic seal, in particular a rectangular shape of their cross-sections, is not an efficient adaptation of the seals to the walls of the vagina. It should be noted that the seal of the company KARL STORZ has only three elastic disc-shaped seal, which can operate only over a short section of the vagina. In addition, a number of seals makes it possible inversion under the action of high pressure pneumoperitoneum. The latter circumstance, in combination with rectangular cross sections elastic disc-shaped seals indicates that the edges of these disc-shaped elastic seal can injure the vaginal wall in the advancement of the obturator along the vagina.
The present invention is directed to solving the problem by creating the vaginal obturator, which is convenient in operation and design as simple as possible to prevent loss of pneumoperitoneum in the whole range of the lengths of the vagina without causing injury to its walls when moving the obturator forward or backward.
The technical result of the invention is superior surface interaction elastic discourse the seals of the seal with the vaginal walls, facilitating the work of the surgeon and, as a consequence, obtaining good results of operations.
The essence of the invention is expressed in essential features, in which the vaginal obturator containing sleeve having an inner surface at the guide and placed on the outer surface of the grooved sleeve elastic disc-shaped seals, the maximum dimensions of which increase to the non-working end of the sleeve differs from the closest analogue that contains at least one additional disc-shaped elastic seal with dimensions equal to the size of the largest disc-shaped elastic seal, with elastic disc-shaped seal with the smallest size and elastic disc-shaped seal placed next to the disc-shaped elastic seal with the smallest size, are forming surface, rounded side working the butt sleeve, and an elastic disc-shaped seal with the largest size and at least one additional disc-shaped elastic seal have a form with symmetrical curves, which are associated with bevels performed on the surfaces of the disc-shaped elastic seal from the side of the working end of the sleeve and constituting the length of not less thanfrom the difference n the outer diameter of the sleeve and maximum outer size of the additional disc-shaped elastic seal.
Given a set of essential features sufficient to achieve the technical result of the invention in all cases to which the requested amount of legal protection.
In some cases, its performance or use vaginal obturator may include a sleeve that on the non-working end provided with a stopper.
The causal link listed signs with the technical result of the invention is that the sleeve having an inner surface for the guide, it is convenient to use during surgery in combination with other surgical instruments, for example in combination with uterine manipulator. The increase to the non-working end sleeves maximum elastic disc-shaped seals placed in the grooves on its outer surface, allows you to make the input of the obturator into the vagina easier, with the rounded side of the working end of the sleeve forming the surface of the disc-shaped elastic seal with the smallest size and elastic disc-shaped seal, tiled, substantially reduce the trauma to the vaginal walls with the introduction of the obturator.
Trauma to the vaginal walls also reduces performed with symmetrical curves forming a disc-shaped elastic is platytera most sizes and at least one additional disc-shaped elastic seal, and paired with symmetrical rounded bevels performed on the surfaces of these seals from the side of the working end of the sleeve, provide as reducing the morbidity introduction, and improved contact surfaces of the elastic disc-shaped seals with the adjacent walls of the vagina. The length of the bevel, at leastfrom the difference of the outer diameter of the sleeve and maximum outer size of the additional disc-shaped elastic seal is guaranteed eliminates loss of pneumoperitoneum during different ratios of the sizes of the obturator and vagina. This ratio is confirmed by, for example, what is the difference of the outer diameter of the sleeve and maximum outer size of the additional disc-shaped elastic seal component 30 mm, an acceptable seal was achieved when the length of the bevels of 7.5 mm, a Similar result was also achieved when the length of the bevels 10 mm and the difference of the outer diameter of the sleeve and maximum outer size of the additional elastic disc-shaped seal 40 mm, while the length of the bevels 5 mm, respectively, when the difference between the outer diameter of the sleeve and maximum outer size of the additional elastic the wow disc-shaped gasket 20 mm
At least one additional disc-shaped elastic seal with dimensions equal to the size of the largest disc-shaped elastic seal, significantly increases the reliability of the object.
The connection sleeve and the guide through the stopper facilitates the work of the surgeon, preventing extrusion of the seal from the vagina at high pressure pneumoperitoneum.
The invention is illustrated in the drawing, in which figure 1 shows a longitudinal section of the proposed vaginal obturator, figure 2 given a magnified image of a part of the elastic disc-shaped seal with the smallest size and figure 3 is an enlarged image of part of a further disc-shaped elastic seal.
Vaginal obturator includes a sleeve 1 having an inner surface for the guide. On the outer surface of the sleeve 1 in the grooves placed elastic disc-shaped seals 2, 3 and 4 and at least one additional disc-shaped elastic seal 5. Maximum dimensions of the elastic disc-shaped seals 2, 3 and 4 increase to the non-working end of the sleeve 1. At least one additional disc-shaped elastic seal 5 has a size equal to the size of the largest disc-shaped elastic seal 4. Elastic disc-shaped seal 2 Nakanishi and sizes and disc-shaped elastic seal 3, placed next to the disc-shaped elastic seal 2 with the smallest size, have a forming surface with recesses 6 arranged from the side of the working end of the sleeve 1. Elastic disc-shaped gasket 4 with the largest size and at least one additional disc-shaped elastic seal 5 are forming surface with symmetrical recesses 7, which are associated with bevels 8. Bevels 8 are located on the surfaces of the disc-shaped elastic seal 4 and 5 from the side of the working end of the sleeve 1 and are the length of not less thanfrom the difference of the outer diameter of the sleeve 1 and the maximum size of the additional disc-shaped elastic seal 5.
In the particular case of performing vaginal obturator may include a sleeve 1, which is the non-working end provided with a stopper 9.
During laparoscopic hysterectomy of the uterus with subsequent removal conducted, for example, using a uterine manipulator, to prevent loss of pneumoperitoneum is introduced into the vagina seal by moving the sleeve 1 along the guide.
Elastic disc-shaped seals 2, 3 and 4 and at least one additional disc-shaped elastic seal 5, placed in grooves on the outer surface of the sleeve 1, thus deform and take the indicate, in particular, the cone-shape. Because the maximum size of the elastic disc-shaped seals 2, 3 and 4 increase to the non-working end of the sleeve 1 and at least one additional disc-shaped elastic seal 5 has a size equal to the size of the largest disc-shaped elastic seal 4, all the seals gradually and atraumatic opening of the vaginal wall, adapting to its surface. Noninvasive interaction elastic disc-shaped seals 2, 3, 4 and 5 with the walls of the vagina facilitates the execution of disc-shaped elastic seal 2 and placed next to him, disc-shaped elastic seal 3 with recesses 6 arranged from the side of the working end of the sleeve 1, and perform disc-shaped elastic seal 4 and at least one additional disc-shaped elastic seal 5 with symmetrical recesses 7, which are associated with bevels 8 from the side of the working end of the sleeve 1. Bevels 8 after installation of the seal into the vagina increase the contact area of the vaginal walls and conical deformed elastic disc-shaped seals 4 and 5, and provide the necessary tightness of the vagina. The length of the bevels 8, at leastfrom the difference of the outer diameter of the sleeve 1 and the maximum is on additional disc-shaped elastic seal 5, guaranteed eliminates loss of pneumoperitoneum during different ratios of the sizes of the obturator and the vagina and allows to compensate, for example, post-traumatic particular tissue of the patient.
After installation of the sleeve 1 in the desired working position it can be fixed on the guide stopper 9. Mutual fixation of the sleeve 1 and the guide prevents extrusion of the seal out of the increased internal pressure of the pneumoperitoneum and thereby provides a stable fit elastic disc-shaped seals 2, 3, 4 and 5 to the walls of the vagina.
In the future, before the removal of the uterus sleeve 1 output guide from the vagina, after moving the stopper 9 to the initial position.
1. Vaginal obturator containing sleeve having an inner surface at the guide and placed on the outer surface of the sleeve elastic disc-shaped seals, the maximum dimensions of which increase to the non-working end of the sleeve, characterized in that it contains at least one additional disc-shaped elastic seal with dimensions equal to the size of the largest disc-shaped elastic seal, with elastic disc-shaped seal with the smallest size and elastic disc-shaped seal placed next to the elastic disco is brosnam seal with the smallest size, have a forming surface, with rounded sides of the working end of the sleeve and the resilient disc-shaped seal with the largest size and at least one additional disc-shaped elastic seal have a form with symmetrical curves, which are associated with bevels performed on the surfaces of the disc-shaped elastic seal from the side of the working end of the sleeve and constituting the length of not less than 1/4 of the difference of the outer diameter of the sleeve and the maximum amount of additional disc-shaped elastic seal.
2. Vaginal obturator according to claim 1, characterized in that the elastic disc-shaped seals and at least one additional disc-shaped elastic seal is installed in the groove made on the sleeve.
3. Vaginal obturator according to claim 1, characterized in that the bushing on the non-working end provided with a stopper.
FIELD: medicine, plastic surgery.
SUBSTANCE: it is necessary to apply a blanket suture onto female genital organs at up to 4-5 mm distance between the stitches at capturing the tissue along the surface for the depth of about 1-2 mm and inside by applying any absorbable material. The innovation enables to avoid inflammatory and cicatricial tissue deformations and, also, increase cosmetic effect.
EFFECT: higher efficiency.
4 dwg, 2 ex
SUBSTANCE: method involves introducing gynecological instrument into uterine cavity without dilation. Material to be removed is treated, including its separation from uterine walls and from its cavity with endometrium state instrument position in the uterus cavity concurrently instrumentally controlled by means of transabdominal echo scanning. After having removed material to be removed from easily accessible uterus areas, a hard-to-reach uterus area of its surface is moved to zone accessible for treating with gynecological instrument causing directed uterus wall sites contraction. To do it, uterine probe is introduced into engagement with uterine wall at place being most close to hard-to-reach area and retained in this position until the instrument is compressed with uterine walls. Then probe is substituted for an instrument usable for separating and removing content from uterine cavity. The work is carried out in the newly formed operation canal under transabdominal echo scanning in removing material to be removed from this uterine cavity site.
EFFECT: enhanced effectiveness in removing the whole hyperplastic endometrium or fetal ovum remnants from uterine cavity under anomalous uterus structure.
FIELD: urology and gynecology, in particular, treatment of pelvic fundus prolapse.
SUBSTANCE: common feature with each of versions of implantation tape is that tape is adapted for creating loop around urethra, is made perforated for growing of fibroblasts therethrough, and comprises distal ends and central part adapted for embracing of urethra between the latter and wall of the vagina. Central part is widening toward one side, said widening portion being made in the form of perforated patch enabling growing of fibroblasts through perforations and adapted for positioning between wall of the vagina and urinary bladder fundus region. According to first version, patch is made triangular and may be connected with central part by apex part of triangle. Such shape allows patch to be deformed so as to impart any desirable anatomic form thereto without formation of undesired creases. Total length of tape, according to first version, is 350-650 mm, thickness is 0.5-1.5 mm, width of distal ends of tape is 4-12 mm. Length of patch from central part of tape perpendicular thereto is 15-45 mm. Width of the widest part of pitch is 15-45 mm. According to second version, patch is made rectangular or trapezium-shaped, and is connected with central part of tape along one side of rectangle or trapezium. Triangular recess is formed at the side of rectangle opposed to side along which it is connected with central part. Apex of recess is directed inward of patch for reducing the probability of forming undesired creases. Depth of recess is 0.2-1.0 the height of rectangle or trapezium, which is measured in direction perpendicular to longitudinal axis of tape central part.
EFFECT: increased efficiency in treatment of urogynecological diseases owing to employment of optimal tape shape and ratio of sizes.
15 cl, 4 dwg, 3 ex
FIELD: medicine, obstetrics, gynecology.
SUBSTANCE: due to instrumental technique one should pre-detect the volume of uterine cavity and its longest length against the cervix. Moreover, it is necessary to fix a woman's body in position at which the upper edge of uterine cavity bottom is below against the lower edge of uterine cervical opening till the moment of complete filling in uterine cavity with blood. With the help of a catheter one should introduce medicinal preparation heated up to +42- +45° C into uterine cavity through an opening in uterine cervix into area of cavitary bottom at the volume exceeding the half of cavitary volume. Moreover, as the above-mentioned medicinal preparation it is necessary to apply dehydrated silicone gel impregnated with equal volume of 3%-hydrogen peroxide solution. The innovation enables to interrupt postpartum hypotonic uterine hemorrhage efficiently and safely.
EFFECT: higher efficiency.
FIELD: medicine, gynecology.
SUBSTANCE: before photocoagulation it is necessary to remove mucous layer in intramural department uterine tube up to the level of fibrinous fibers of submucous membrane, close the passability of isthmus and intramural department of uterine tube due to photocoagulation with scattered laser radiation. A light guide should be replaced from isthmus' lumen through intramural department towards uterine cavity at stops for irradiation purpose by developing dead-end septa along forming closed sections. At photocoagulation one should apply a biological protein hematofibrinous intratissue solder of removed mucous layer. The innovation provides tight tissue welding, decreases traumatism of sterilization due to applying a biological solder, moreover, by keeping viability of epithelial parts in intramural department of uterine tube.
EFFECT: higher efficiency.
SUBSTANCE: method involves cutting of the uterus body and its blood vessels in single stage in 20 min using electrical thread loop from stainless steel string of variable size. The loop is put on over the uterus with both arteries, in loosening it. The loop is fixed pressing it into the uterus body in appropriate position by reducing loop size. Current is supplied to the loop in coagulation mode. The uterus is excised in cutting or mixed mode. Excised uterine stump and blood vessel surface is coagulated with thread slack being pulled with tension mechanism of the instrument. Device has electrically insulated casing having tube enclosing string electrode manufactured from stainless steel and ending in loop connected to electric plug. The electrode string is placed on drum mounted on casing axle. It is engageable to movable handle with its lateral surface by means of serrated joint along circle perimeter allowing engagement over the other lateral drum surface by means of serrated joint along circle perimeter having locking member mounted on the casing. The casing axle has supporting pin engageable with inclined surface of movable handle saddle for pressing the movable handle to the drum to rotate it when moving the handle and for disengaging the movable handle and the drum in carrying out return handle movement and releasing locking member connection to the drum.
EFFECT: accelerated operation process; minimized blood losses.
3 cl, 2 dwg
FIELD: medical equipment.
SUBSTANCE: device for sterilizing women has shutter of Fallopian tubes which has elongated cylindrical shape and which is made of bio-inertial material. As the material, porous-penetrable titanium nickelide is chosen which has maximal lateral size of porous being equal to 50-100 mm.
EFFECT: improved efficiency of shutter.
3 cl, 4 dwg
SUBSTANCE: method involves excising posterior vaginal wall. Oval flap is cut out from allogenous dura mater transplant. Transversally corrugating sutures are applied to anterior rectal wall. Levators are mobilized. The flap is fixed with separate sutures to the rectum. U-shaped sutures are placed through levator with transplant being fixed with 2-3 sutures on the right and on the left side. The right and left levators are joined by suturing. Threads are tied in double-triple knot. Next, U-shaped sutures are tied with double-triple knot. Thread ends are cut off at the level of knot. Posterior wall wound is sutured separate loose sutures.
EFFECT: enhanced effectiveness of treatment; reliable rectovaginal septum fixation.
FIELD: medicine, surgery.
SUBSTANCE: one should dissect mucosa of posterior vaginal wall along middle line up to the border of the middle and the upper third to exfoliate it bluntly, separate and withdraw hernial sac into the wound by lancing its top and setting its content into abdominal cavity and tighten at the bottom. Posterior vaginal arch should be strengthen due to implanting a synthetic netting, the size being 5x10 cm, not more. It should be fixed submucosally as a cupola with separate interrupted sutures. Vaginal wound should be sutured in with interrupted catgut sutures. The innovation enables to decrease technical difficulties on removing anatomic defects of pelvic bottom, shorten the duration and increase reliability of operation and, also, achieve high functional results.
EFFECT: higher efficiency of therapy.
5 dwg, 1 ex
FIELD: medicine, gynecology.
SUBSTANCE: beforehand, it is necessary to evacuate urinary bladder and intestine, a patients should be put onto a gynecological chair, one should introduce a forefinger and the 3d finger of one hand in a sterile rubber glove into vagina, fingers of another hand should be placed onto anterior abdominal wall being above the pubis with volar surfaces to palpate uterus and its adnexa with fingers for about 3-15 min daily by courses per several seances during inter-menstrual period. Moreover, during the first half of the course starting 3 d before ovulation each seance should be carried out after vaginal pre-introduction of sperm. Palpation and squeezing should be started from uterus to be carried out at simultaneous closing the foramen in uterine cervix with a finger. Then, it is necessary to detect an ovary with a maturing follicle and ovulation moment with the help of US testing after which, during the second half of the course during 3 d it is necessary to conduct unilateral massage of adnexa from the side of matured follicle at open foramen in uterine cervix. Moreover, each seance should be started from adnexa. The innovation enables to create desired dislocation of an ovicell and spermatozoa.
EFFECT: higher efficiency.
FIELD: medicine, gynecology.
SUBSTANCE: the method includes laparoscopic access. One should perform dissection of closed functioning uterine horn in its bottom area. Under laparoscopic control due to retrograde hysteroresectoscopy one should carry out resection of endometrium of closed functioning uterine horn. Uterine wall should be restored.
EFFECT: decreased traumaticity of operative interference.
FIELD: medicine, surgery, gynecology.
SUBSTANCE: the present innovation deals with suturing cystic urovesical sphincter, straightening urovesical angle and strengthening the sphincter with an implant out of porous titanium nickelide. As the implant one should apply an oval plate curved as a groove out of titanium nickelide with shape memory effect which should be applied onto lateral walls, as well. The method increases fixation area, develops a support moving within physiological deformations to remove pathological mobility.
EFFECT: higher efficiency of fixation.
2 dwg, 1 ex
FIELD: medical engineering.
SUBSTANCE: device has means composed of endovaginal ultrasonic measuring converter introducible into a part of patient vagina with rest against uterine cervix of patient, cervix holder for holding the uterine cervix and connector for coupling the ultrasonic measuring converter and cervix holder. The connector enables the ultrasonic measuring converter subjected to counteraction resistance, to move. The movement under counteraction takes part in the direction away from the uterine cervix.
EFFECT: enhanced effectiveness and accuracy in doing intrauterine, cervical procedures and procedures on fallopian tubes.
54 cl, 7 dwg
FIELD: medicine, gynecology.
SUBSTANCE: through vertical umbilical incision one should introduce an optic trocar supplied with laparoscope, separate peritoneum with gas from pre-peritoneal fiber and through an access developed on should fix anterior vaginal wall to pectineal ligaments from both sides at the level of the middle urethral part and urethrovesical segment by leaving about 1.5-2.5 cm against urethra.
EFFECT: higher efficiency.
SUBSTANCE: method involves shortening and attaching round ligaments to vagina fornix and their suturing under the urethra as sling. Cardial ligaments are shortened and attached to the middle part of the vagina. Triangular flap is cut from posterior vaginal wall, sacrouterine ligaments are sutured. The posterior vaginal wall is separated from the rectum creating in this way duplicature from vaginal walls.
EFFECT: enhanced effectiveness of surgical treatment; eliminated urination disorders.
FIELD: medicine, operative gynecology.
SUBSTANCE: one should apply a clamp onto uterine edge at the level of internal mouth being perpendicular to the edge, gash tissues above the clamp before the moment of parametral fiber mobilization. Then one should apply the second clamp being parallel to uterine cervix at the level of anterior-lateral arch and separate acutely the tissues against uterine cervix till complete mobilization at both clamps. Then one should suture underlying tissues being below the clamp's end under clamp's tip to apply ligature and the knot both in front and behind the clamps.
EFFECT: decreased traumaticity of the method.
FIELD: medicine; medical engineering.
SUBSTANCE: method involves piercing anterior abdominal wall tissues. Device is set into the abdominal cavity. The abdominal cavity is filled with gas. Mechanical stretching of tissues is carried out along pierce hole perimeter to make its size enough for performing visual control of surgical actions. Abdominal cavity is unsealed and minimum scale surgical intervention is carried out. Then, the abdominal cavity is sealed and the operation is to be continued with laparoscopic stage. Device has ring-shaped body, spatulas, removable cover having sealing member and stiletto mounted on the cover. The cover and stiletto are coaxially mounted with the ring-shaped device body on its external surface. The spatulas have three parts - the upper one, the middle one and the lower one. The parts are arranged at the same angle to each other and form a convex structure. The convex structure is directed towards inside of the ring-shaped body. The lower part of the spatulas surrounds the stiletto allover its whole length. A hinge having horizontal rotation axis is available in the middle and upper parts zone on the same side with concave part. The hinge is mounted on the ring-shaped body support member. Pushers are available in radial slots of the ring-shaped body. The pushers are engageable with the upper part of the spatulas on one side and with mechanism for making their radial movement on the other side.
EFFECT: accelerated and simplified surgical intervention method.
3 cl, 3 dwg
SUBSTANCE: method involves carrying out laparoscopic intervention using three trocars. The first one is introduced with laparoscope in periumbilical area in a zone free of visceroparietal fusions. Two additional trocars are symmetrically introduced in the right and left iliac abdominal zones. Ovary resection is carried out with urgent histological examination and subtotal greater omentum resection is done. The patient is set in Fowler position. The greater omentum is moved to superior abdominal cavity tier above the transverse colon level using forceps. It is fixed in the large intestine splenic flexure area with a forceps introduced through a trocar arranged in the right iliac zone. The greater omentum is stretched in the anterior abdominal wall direction. The place the greater omentum is attached to the transverse colon is visualized. The greater omentum stage-by-stage resection is carried out using ultrasonic scalpel at the level of omental ribbon of the transverse colon on an interval from splenic to hepatic flexure of the colon. To avoid injuries of the transverse colon, minimum required indent from the colon is done. Malignant ovary lesion being histologically confirmed, uterine appendages are excised or supravaginal amputation is carried out.
EFFECT: enhanced effectiveness of treatment; accelerated treatment and rehabilitation process; reduced risk of traumatic complications; improved cosmetic result.
FIELD: medical engineering.
SUBSTANCE: device has cylindrical uterine dilator. The dilator is manufactured from super-elastic material on the base of titanium nickelide as zigzag wire spiral rolled as cylinder and having end zigzag segments bent to 15-30° outwards. One or several distal zigzag end segments are elongated by 0.5-0.7 times cylinder diameter, closed and twisted and smoothly conjugated when being bent into cylindrical lumen in inclined position relative to its axis.
EFFECT: enhanced effectiveness of cervical canal dilation; simplified method for withdrawing the device.
SUBSTANCE: method involves closing passability of intramural portion of uterine tube. Intermittent photocoagulation is carried out of isthmus and intramural portion of uterine tube in subablation mode with a sort of solder alloy being applied to irradiation area, scattered laser radiation in moving laser light guide from isthmus lumen through intramural portion of the uterine tube in the uterus cavity direction making pause for irradiation, creating solid partitions on the traveling path and forming closed sections in cavities of cervix and intramural portion of the uterine tube.
EFFECT: enhanced effectiveness of treatment; retained areas of transit tube and uterus epithelium.