Panhysterectomy
Лапароскопическая пангистерэктомия (экстирпация матки) с придатками матки или без (удаление тела матки с шейкой матки) – проводится при заболеваниях тела матки в комбинации с поражением шейки матки, включая множественную миому матки, атипическую гиперплазию эндометрия и т.д. Операция имеет некоторые ограничения по размеру матки.
Laparoscopic radical hysterectomy with the pelvic lymphadenectomy
Автор: Puchkov K.V.
Laparoscopic radical hysterectomy with the pelvic lymphadenectomy. Professor Puchkov K.V. is performing an operation (2011)
In this video the technique of the radical hysterectomy with the pelvic lymphadenectomy in case of cancer of endometrium is presented. Hysterectomy is performed with the help of a 10 mm Liga Sure MEDTRONIC COVIDIEN instrument. There is an indication to remove nodes en block while performing lymphadenectomy; the ultrasonic dissectors, produced by MEDTRONIC COVIDIEN and Ethicon companies, are used. Ultrasound use gives a possibility to “weld” thin lymphatic ducts properly to prevent from lymphorrhea development. And there is no need to use drainage after the operation. A special attention is paid to the restoration stage-stitching of vagina –stitching it to the sacrouterine ligaments to prevent from prolapse of uterus after operation.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.