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Лапароскопические операции при послеоперационных вентральных грыжах с применением сетчатых имплантов

Laparoscopic correction of postoperation ventral hernia-the kind of mesh implant in three months

Laparoscopic correction of postoperation ventral hernia-the kind of mesh implant in three months.
Professor Puchkov K.V. is performing an operation (2016).

3 months ago a female patient was operated on laparoscopically for postoperation ventral hernia by means of composite mesh Parietex Composite (20x20 cm), and fixation of it was done by transperitoneal stitches and a herniostapler ProTack MEDTRONIC COVIDIEN (Professor Puchkov K.V. had operated her). In case of repeated operation for genital prolapse there is an indication to set mesh on the side of the abdominal cavity. There is no adhesion near the previous mesh implant.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

Laparoscopic correction of postoperation ventral hernia (16 cm)

Laparoscopic correction of postoperation ventral hernia (16 cm).
Professor Puchkov K.V. is performing an operation (2016).

A female patient with the excessive body mass has been undergone 2 lapapotomic operations, and a big ventral hernia has been formed along the midline. The size of hernial port is up to 16 cm. A concomitant disease is a compensated liver cirrhosis. In the film the technique of adhesiolysis by means of a 5 mm LigaSure MEDTRONIC COVIDIEN is demonstrated, then extraction of hernial contents from the hernial sac and removal of the round ligament is fulfilled. The final stage is a closure of hernial ports by composite mesh- Parietex Composite (30x30 cm) and fixation of it by transperitoneal stitches and a herniostapler ProTack MEDTRONIC COVIDIEN. At the end of operation anticommisural gel is introduced into the abdominal cavity. Operation duration is 1 hour 30 minutes.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

Laparoscopic correction of postoperative ventral hernia with a mesh implant

Laparoscopic correction of postoperative ventral hernia with a mesh implant
Professor Puchkov K.V. is performing an operation (2013).

In this video the technique of adhesiolysis by “cold” way, using the endoscopic scissors and a 5 mm LigaSure MEDTRONIC COVIDIEN instrument, and possible versions of hernioraphy (stitching of hernial ports) - by endoscopic and transperitoneal stitches, is demonstrated. The final stage is a closure of hernial ports by composite mesh Parietex Composite and its fixation by transperitoneal stitches and a herniostapler ProTack MEDTRONIC COVIDIEN.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

Laparoscopic correction of postoperation ventral hernia where relapse has happened several times

Laparoscopic correction of postoperation ventral hernia where relapse has happened several times.
Professor Puchkov K.V. is performing an operation (2016).

A male patient with the excessive body mass has had 3 laparotomic operations (midline, in the right and left subcostal areas) for pancreonecrosis. Then, he was operated twice laparotomically for ventral hernia, once - laparoscopically, using mesh implants. In this film the technique of adhesiolysis by ”cold” way by means of the endoscopic scissors and a 5 mm LigaSure MEDTRONIC COVIDIEN instrument is demonstrated. The final stage is a closure of the hernial ports by composite mesh Parietex Composite (30x30 cm) and its fixation by transperitoneal stitches and a herniostapler ProTack MEDTRONIC COVIDIEN. At the end of operation anticommisural gel is introduced into the abdominal cavity. Operation duration is 1 hour 50 minutes.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

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