Lositskaya Seam

The Lositsky suture, also known as the Lositsky operation or the Lositsky method, was developed by Soviet obstetrician-gynecologist Valentina Aleksandrovna Lositskaya in 1952 and is intended to reduce and minimize complications and the risk of developing adhesions around the ovarian stump after removal of pelvic tumors in women. The method was initially described in the general literature, but more detailed scientific works and methodological studies published subsequently helped to comprehensively study and improve the surgical technique.

The Lositsky suture involves manually creating a “knot” between the ovarian stump and the uterus and closing the resulting space using special stitches using catgut and natural silk, which are applied in a special way to the tissue located under the ovary during surgery. The stitches are performed in such a way as to provide mechanical support and prevent migration or descent of the ovarian stump, which can cause problems with the function of the uterus and ovaries in

The Lositsky suture is a modification of the classic circular suture during a caesarean section. The idea of ​​the operation belonged to the Ukrainian obstetrician Vera Fedorovna Lositskaya, who improved the standard suture and proposed it for use. This method is used when the amniotic sac is at the top. Lositsa-I suggested circular sutures on only one side of the uterus, and then manually pulled the catgut tightly together, which is why the circular sutures of the surgeon Lositsky are usually called mositsitsa or lotic sutures. For the first time, the technique of carrying out such a procedure was described by obstetrician Kandid Timofeevich Chernovsky. However, in practice, the technique has proven itself well and has found its admirers. Why can’t the seam be called the most ordinary? This type is a modified classic round stitch. When obstetricians use the Lositsky suture for a cesarean section, the patient experiences less pain at the site of the uterine incision. It should also be noted that after this type of sutures, the risk of deformation of the scar on the uterus is reduced. Thanks to the catgut screed, the formation of scar tissue occurs slowly and evenly, and the risk of seams coming apart is reduced several times. This operation is also performed on an open uterine fundus, which affects the level of infections.