Video of operations
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Antiadhesion “Mesogel” barrier
Laparoscopic dissection of the external genital endometriosis of the pelvic abdomen. Ureterolysis. Ureter duplication on the left
Автор: Puchkov K.V.
Laparoscopic dissection of the external genital endometriosis of the pelvic abdomen. Ureterolysis. Ureter duplication on the left. Professor Puchkov K.V. is performing an operation (2017).
A 25 year-old patient is operated on for the external genital endometriosis, stage 3. In this video the technique of dissection of centres on the abdomen, using instruments of Karl Storz Company, is presented. Attention should be paid to the preliminary opening of the abdomen by means of a monopolar electrode near the centre, giving a possibility to carbonic acid gas to penetrate into the retroperitoneal space. Gas presence gives a possibility to perform more safe dissection of affected tissues. Simultaneously traction of the endometrioid centre in opposite direction is performed, giving a possibility to see clearly the structures of the retroperitoneal space. Using the soft forceps, the exposure of the tubular structures is done subperitoneally, they are moved aside from the endometrioid centre. During the tissue dissection the ureter duplication has been found out. One should bear in mind the variants of anatomy to prevent the injury of ureters during the dissection of the endometrioid centres. Antiсommisural “Mesogel” barrier is introduced into the pelvic area. The operation duration is 50 minutes.
The details of this technique you can read on the personal cite of Professor Puchkov K.V. To go to the link
Laparoscopy. The scar after the laparoscopic myomectomy (the node is 11 cm)
Автор: Puchkov K.V.
Laparoscopy. The scar after the laparoscopic myomectomy (the node is 11 cm). Professor Puchkov K.V. is performing an operation (2017).
In this video the uterine scar after the laparoscopic myomectomy with the temporarily occlusion of the arterial stream (internal iliac arteries), performed by Professor Puchkov K.V. according to his own method, is presented (it takes place after 2.5 years after operation). This time the patient has been operated on for ovarian cyst. After the operation anticommisural gel is applied.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic dissection of the endometrioid cyst of the left ovary and dissection of the external genital endometriosis
Автор: Puchkov K.V.
Laparoscopic dissection of the endometrioid cyst of the left ovary and dissection of the external genital endometriosis.
Professor Puchkov K.V. is performing an operation (2014).
A 22 year-old patient is operated on for endometrioid cyst of the left ovary (7 cm) and external genital endometriosis, stage 3. Having the aim to preserve the ovulatory potential, the final hemostasis near the cyst bed is done with the help of PerClot hemostatic preparation (Italy). In this video the technique of dissection of the centres on the abdomen by means of Karl Storz Company instruments is demonstrated. One should pay attention to the preliminary opening of the abdomen near the centre, giving a possibility to the carbonic acid gas to penetrate into the retroperitoneal space. Gas presence helps to perform safer dissection of the affected tissues. Simultaneously traction of the endometrioid centre is done in the opposite direction, giving a possibility to visualize clearly the structures of the retroperitoneal space. The cyst is opened, and its contents are evacuated. Then enucleation of the cyst membrane is performed, and point hemostasis is done by a bipolar instrument. The final hemostasis is performed by PerClot preparation (Italy). To prevent adhesion development the anticommisural “Mesogel” barrier is introduced into the small pelvis area. Operation duration is 40 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
