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Simultaneous operation in coloproctology
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Simultaneous laparoscopic hysterectomy, right hemicolectomy with intracorporeal anastomosis creation and extraction of specimen via vagina (N.O.S.E. technique)
The author: Puchkov K.V.
Simultaneous laparoscopic hysterectomy, right hemicolectomy with intracorporeal anastomosis creation and extraction of specimen via vagina (N.O.S.E. technique) Professor Puchkov K.V. is performing an operation (2013).
A 51 year-old woman was operated for myoma of uterus in combination with adenomyosis and hyperplasia of endometrium, carcinoid of the ascending colon, stage 2. In this film the technique of hysterectomy and ligation of the ascending branch of the uterine artery with a 10 mm LigaSure («MEDTRONIC COVIDIEN») instrument and «Karl Storz Company» instruments was demonstrated. Hemicolectomy was performed in lateral to medial approach with a 5 mm Harmonic Scalpel Ethicon instrument, with dissection of mesocolon along the superior mesenteric vein. Transection of the iliac colon and ascending colon was performed with Endo GIA («MEDTRONIC COVIDIEN») device with a 60 mm length. Anastomosis was performed intracorporeally, “side-to-side” by mechanic and manual stitching. Then the affected part of the colon was removed from the abdominal cavity through the colpotomic opening. The final stage – vagina was stitching by interrupted resorbable suture.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
