Video of laparoscopic operations
of the best surgeons of the world
TO BECOME A CLUB MEMBER
Video of operations

MainMINIMALLY INVASIVE PROCEDURESGynecologyEndometriosis of abdomen

Sections

The Geography of Members

Tags

Endometriosis of abdomen

Search by category

Laparoscopic vaporization of the endometrioid foci of the diaphragm

Laparoscopic vaporization of the endometrioid foci of the diaphragm.
Professor Puchkov K.V. is performing an operation (2018).

The operation is being performed for the external genital endometriosis, stage 4, the patient is 32 years old. In this video the technique of vaporization of endometrioid foci of the diaphragm with the help of the monopolar ball-shaped electrode (Karl Storz Company) is presented. The removal is done by means of non-contact method in “spray” mode”. The duration of this stage of operation is 10 minutes.

Laparoscopic dissection of the external genital endometriosis of the pelvic abdomen. Ureterolysis. Ureter duplication on the left

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

Laparoscopic dissection of the endometrioid cyst of the left ovary and dissection of the external genital endometriosis

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.

Dissection of endometriosis of postsurgical scar of the abdominal wall

Dissection of endometriosis of postsurgical scar of the abdominal wall.
Professor Puchkov K.V. is performing an operation (2012).

A 36 year-old patient is operated on for the infiltrating endometriosis of organs of small pelvis and endometriosis of postsurgical scar of the abdominal wall after the cesarean section. According to MRT images the centre is located in the area of aponeurosis, and muscles of the abdominal wall are involved. In the video the technique of endometrioid infiltration dissection from the surrounding tissues by means of a monopolar electrode with the further stitching of wound layer by layer is demonstated

Events

19.02.2018 REGISTRATION OF CLUB MEMBERS IS OPENED

We invite medical specialists and medical students to register! Registration is for free!

IN DETAIL