Isthmotomy

Isthmotomy (isthmotomia; isthmo- + Greek tome incision, dissection) is a surgical operation to dissect the isthmus of the uterus.

This operation is used for some forms of infertility caused by an obturator mechanism on the side of the uterine isthmus. By dissecting the isthmus, communication is achieved between the cavities of the body and the cervix, which facilitates the passage of sperm into the fallopian tubes.

The operation is performed under anesthesia using laparoscopic or laparotomic access. The incision on the isthmus of the uterus can be transverse, longitudinal or cruciform, depending on the specific clinical situation. After the incision, sutures are placed to prevent excessive expansion of the incision.

After isthmotomy, it is recommended to abstain from pregnancy for several months to allow the incision to heal. When adequately performed, the operation provides good results in the treatment of infertility.

Historical reference

Isthmotomy is a surgical method of cutting connective tissue in the area of ​​an organ or part thereof, usually performed to diagnose and treat diseases. This procedure is a relatively new term, introduced into the medical literature in the mid-20th century. It was first described in a publication by the American surgeon K.R. Wheeler and his colleagues in 1962. Soon after this, isthmotomy began to be used to treat many diseases associated with various organs and systems.

The purpose of an isthmotomy is to remove or separate tissues and structures located in a specific area of ​​the body. This method allows you to better visualize and examine internal organs, assess their size, structure and condition, as well as diagnose or treat certain diseases. For example, isthmotomy can be used to diagnose cancer or identify tumors, relieve inflammation, or remove certain elements of the body.

The technique for performing isthmotomy depends on the patient's condition and the type of disease that needs to be treated. In general, the procedure is performed under general anesthesia. The surgeon makes a puncture or cut into the skin in the desired location, often using laser or