Laparascopic correction of hiatal hernia
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Laparoscopic correction of diastasis recti and umbilical hernia, cholecystectomy
The author: Puchkov K. V.
Laparoscopic correction of diastasis recti and umbilical hernia, cholecystectomy
Surgeon: professor K.V. Puchkov (2018).
Overweight patient. Gallbladder size 22 cm x 6 cm. Massive adhesions. The calculus size about 5.5 cm. Diastasis 18x5 cm, the size of the hernia gate is 4 cm. During the first stage, cholecystectomy is performed. Further, in the video it shows the technique of correction of diastasis recti and umbilical hernia by suturing them with the V-lock non-absorbable 2-0 thread (MEDTRONIC COVIDIEN) on an atraumatic needle. This stage is performed through trocars inserted for cholecystectomy. The final stage is the closure of the suture line with a ParietexComposite mesh (20x16 cm) and its fixation with transperitoneal sutures and a ProTack (MEDTRONIC COVIDIEN) hernia stapler. The duration of the whole simultaneous operation is 1 hour 30 minutes, the stage of correction of diastasis 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.