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MainMINIMALLY INVASIVE PROCEDURESGynecologyGenital prolapseResection of the cupula of vagina

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Laparoscopic access in the treatment of the genital prolapse. Resection of the cupula of vagina and nerve-preserving promontofixation

Laparoscopic access in the treatment of the genital prolapse. Resection of the cupula of vagina and nerve-preserving promontofixation.
Professor Puchkov K.V. is performing an operation (2017).

In this video the technique of vagina cupula resection and nerve-preserving promontofixation in case of the genital prolapse, stage 3, is presented. At the first stage dissection of promontorium and exposure of the right inferior hypogastric nerve is performed with the help of a 5 mm monopolar electrode. Then dissection of the anterior rectal wall and cupula of vagina is performed by means of a 6 mm LigaSure MEDTRONIC COVIDIEN instrument. At the second stage resection of the expanded and thin area of vagina is performed, it is stitched by Monocril 2-0 thread, with the simultaneous attaching it to the sacrouterine ligaments. Then the facilitated promontofixation by a soft MEDTRONIC COVIDIEN mesh implant is performed according to the author’s method (the patent obtained in 2015). In addition the anterior and posterior colporaphy with levatoroplasty are performed. The duration of the operation is one hour 40 minutes.

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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