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Laparoscopic appendectomy in case of endometriosis of the vermiform appendix.

Laparoscopic appendectomy in case of endometriosis of the vermiform appendix..
The operation is performed by Professor Puchkov K.V. (2017).

The patient is operated on for endometriosis of appendix. Resection of rectum is performed for retrocervical endometriosis. In this video the technique of dissection of mesentery of vermiform appendix by means of a 5 mm Liga Sure MEDTRONIC COVIDIEN instrument and by instruments, produced by Karl Storz Company, is presented. Then suturing of its base is done, and it is stitched by a linear stitching MEDTRONIC COVIDIEN apparatus. The apparatus is removed from the abdominal cavity, using a 12 mm troacar. The duration of this stage of appendectomy is 6 minutes.

Laparoscopic resection of cecum and appendectomy for infiltrative endometriosis

Laparoscopic resection of cecum and appendectomy for infiltrative endometriosis.
Professor Puchkov K.V. is performing an operation (2016).

The operation was performed for infiltrative endometriosis of cecum and base of appendix. The right fallopian tube and ovary were involved in the infiltrate. In the video the technique of adhesiolysis between appendages of uterus and cecum with 5 mm monopolar electrode, was demonstrated. Dissection of the mesentery of vermiform process was performed with a 5 mm LigaSure (“MEDTRONIC COVIDIEN”) instrument and instruments of Karl Storz Company. After mobilization it should be determined whether the whole of the cecum was involved into the process or it was without involving of ileocecal valve. Then the intestinal wall, lower than infiltrate level, was stitched and transected by a linear stitching device (“MEDTRONIC COVIDIEN”). Revision of the wound suture was done-there was no deformity and narrowing of ileocecal isthmus. Specimen was removed through the abdominal cavity via a 12 mm troacar. Duration of this stage was 16 minutes.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

Laparoscopic appendectomy for endometriosis of the vermiform appendix

Laparoscopic appendectomy for endometriosis of the vermiform appendix
Professor Puchkov K.V. is performing an operation (2005).

Operation is performed for endometriosis of appendix. Nodular adenomyosis is found out, and some space in uterine wall, where vermiform appendix, affected by endometriosis, is fixed by intensive adhesion. In this film the technique of dissection of mesentery of the vermiform appendix by a 5 mm LigaSure instrument MEDTRONIC COVIDIEN and instruments of Karl Storz Company is demonstrated. Then its base is bound by ligature and is immersed into the purse-string suture. Preparation is removed from the abdominal cavity in a special plastic container MEDTRONIC COVIDIEN via the umbilical access.

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