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Laparoscopic access in the treatment of retrocervical endometriosis with the involvement of the posterior wall of vagina

Laparoscopic access in the treatment of retrocervical endometriosis with the involvement of the posterior wall of vagina.
Professor Kanis M. is performing an operation (France, 2017). Professor Bochoroshvili R.G. is commenting on (France, 2017).

The patient is with infiltrating endometriosis, invading to the vaginal wall without involvement of rectum into the process. In this video the technique of exposure of the endometrioid infiltrate by means of bipolar forceps and endoscopic scissors without the preliminary exposure of the ureter is presented. And the technique of resection of the posterior vaginal wall with further stitching, using “Monocril” 1-0 thread, is demonstrated, as well.

Laparoscopic approach in the treatment of retrocervical endometriosis with the involvement of the posterior wall of vagina

Laparoscopic access in the treatment of retrocervical endometriosis with the involvement of the posterior wall of vagina.
Professor Kanis M. is performing an approach (France) (2012)

A 30 year-old patient was operated for infiltrating endometriosis, invading to the posterior wall of vagina and involving the anterior wall of rectum. In this video the technique of exposure of the endometriosis infiltration with using of the bipolar forceps and endoscopic scissors is demonstrated. The infiltration was exposed and the resection of the affected area of the vaginal wall with using of a needle-shaped monopolar electrode was performed. Then was placing an atraumatic interrupted Z-shaped suture, using “Monopolar” 2-0 thread. “Shaving” of the endometriosis foci was done, using the ”cold” way with a 5 mm endoscopic scissors.

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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