Healing failure of the uterine scar
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Laparoscopic reconstructive metroplasty with the temporary occlusion of the arterial stream in case of healing failure of the uterine scar
The author: Puchkov K.V.
Laparoscopic reconstructive metroplasty with the temporary occlusion of the arterial stream in case of healing failure of the uterine scar. The operation is performed by Professor Puchkov K.V. (2017).
In this video the technique of laparoscopic reconstructive metroplasty in case of healing failure of the uterine scar after the cesarean section is presented. The operation is performed according to the author’s method (the patent obtained in 2007) with the temporary occlusion of the arterial stream. At the first stage, immediately after the bifurcation of the common iliac artery the pelvic abdomen is opened, and De Bekey vascular forceps are temporarily applied onto the internal artery. It gives a possibility to avoid blood loss during the operation. Then the insolved scar is dissected in the transverse direction till the healthy tissue with the help of a monopolar electrode. The wound is stitched by separate atraumatic suture, using “Polysorb” 2-0 and “Monocril” 2-0 thread. Then the forceps are removed from the internal iliac artery, and bloodstream is restored in the uterus. The suture is covered by anticommisural gel.
The details of this technique you can read on the personal cite of Professor Puchkov K.V. To go to the link