Ovarian cyst

Laparoscopic adnexectomy, using the single access (S.I.L.S.) and LigaSure MEDTRONIC instrument

Laparoscopic adnexectomy, using the single access (S.I.L.S.) and LigaSure MEDTRONIC instrument.
Professor Puchkov K.V. is performing an operation (2017).

In this video the technique of laparoscopic adnexectomy, using the single port (SILS port COVIDIEN), is presented. A 50 year-old patient has been operated on for serous cystadenoma of ovary. Cyst sizes are as follows: 8x6 cm. The technique of port (SILS COVIDIEN) introduction into the abdominal cavity is demonstrated. Visualization of the surgical site is done due to a 5 mm elongated laparoscope (KARL STORZ Company). For fast and successful operation performing Clermont Ferrand (KARL STORZ Company) uterine manipulator and a 5 mm LigaSure MEDTRONIC instrument are used. For this operation one twisting instrument- a 5 mm soft forceps –are required. The preparation is placed into a special plastic container by KARL STORZ Company, that is removed alongside with the port via the umbilical area. The duration of the laparoscopic stage is 4 minutes.

Laparoscopic adnexectomy with the single access (S.I.L.S.), using LigaSure MEDTRONIC instrument

Laparoscopic adnexectomy with the single access (S.I.L.S.), using LigaSure MEDTRONIC instrument.
Professor Puchkov K.V. is performing an operation (2017).

In this video the technique of laparoscopic adnexectomy, using the single port (SILS port COVIDIEN), is presented. A 52 year-old patient is being operated on for serous cystadenoma. The sizes of the cyst are as follows: 9x7 cm. There is an indication to perform on an operation, using the single port. Visualization of the surgical site is done with the help of a 5 mm elongated laparoscope, produced by KARL STORZ Company. For fast and successful operation performing Clermont Ferrand (KARL STORZ Company) uterine manipulator is used. For this operation one twisting instrument is required-it is 5 mm soft forceps. The preparation is placed into a special plastic container (produced by KARL STORZ Company) that is removed alongside with the port through the umbilical area. The duration of the laparoscopic stage of operation is 3 minutes.

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

Laparoscopic tubectomy and removal of paroophoritic giant cyst (6 litres) on the left and paroophoritic cyst on the right (300mL)

Laparoscopic tubectomy and removal of paroophoritic giant cyst (6 litres) on the left and paroophoritic cyst on the right (300mL).
Professor Puchkov K.V. is performing an operation (2016).

In this video the technique of operation stage is presented. It is removal of the left fallopian tube and giant paroophoritic cyst (6 litres), using laparoscopic way, by means of a 5 mm Liga Sure MEDTRONIC COVIDIEN instrument. A 40 year-old patient is operated on. Preliminary the cyst is dotted by a 10 mm MEDTRONIC COVIDIEN ribbed troacar, and 6000 mL of transparent fluid is evacuated from it. Cystoscopy has been performed -there are no papillary excrescences there. Then, using Liga Sure instrument, coagulation and transsection of the fallopian tube are done, and adhesions, connecting the cyst and ovary, are coagulated, as well. On the left the removal of the paroophoritic cyst is done with preserving of the fallopian tube by means of enucleation it from mesosalpinx. Operation is performed fast and without blood loss. Then the removed preparation has been removed with the help of a plastic container. Operation duration is 60 minutes.

The details of this technique you can read on the personal cite of Professor Puchkov K.V. To go to the link

Laparoscopic adnexectomy on the right, using the single access (S.I.L.S. Port COVIDIEN)

Laparoscopic adnexectomy on the right, using the single access (S.I.L.S. Port COVIDIEN).
Professor Puchkov K.V. is performing an operation (2016).

In this video the technique of laparoscopic adnexectomy, using the single port (SILS port COVIDIEN), is presented. A 54 year-old patient has been operated on for serous cystadenoma. The sizes of the cyst are the following: 8x7 cm. In this video the technique of ligating and dissection of infundibulopelvic ligament of ovary by a 5 mm LigaSure MEDTRONIC COVIDIEN instrument is demonstrated. The preparation is placed into a special plastic container (KARL STORZ Company) and is removed alongside with the port through the umbilical area. Operation duration is 9 minutes.

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

Laparoscopic cystadnexectomy on the left

Laparoscopic cystadnexectomy on the left.
Professor Puchkov K.V. is performing an operation (2015).

In this video the technique of removing uterine appendages with the cyst laposcopically, using a 5 mm Liga Sure MEDTRONIC-COVIDIEN instrument, is presented. A 46 year-old patient is operated on for the dermoid cyst, having the size 20 cm. Before that the cyst has been dotted by means of a 10 mm ribbed troacar MEDTRONIC COVIDIEN, 800 mL of thick contents have been evacuated from it. The orifice is stitched by the interrupted suture. Then, using Liga Sure instrument, the consecutive coagulation and transsection of infundibulopelvic and ovarian ligaments are performed, as well as that of the fallopian tube. The operation is done fast and without bloodloss. The dissected preparation should be removed in a special plastic container. At the end of the procedure the removed cyst has been shown. Operation duration is 50 minutes.

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

Simultaneous laparoscopic correction of the umbilical hernia and ovarian cyst

Simultaneous laparoscopic correction of the umbilical hernia and ovarian cyst.
Professor Puchkov K.V. is performing an operation (2012)

A 50 year-old patient is operated on for the irreducible umbilical hernia-7 cm, paroophoritic cyst of the left ovary-5 cm. In this video the laparoscopic technique of adhesion dissection and removal of hernia contents by means of a 5 mm Liga Sure MEDTRONIC COVIDIEN instrument is demonstrated, as well as removal of the paroophotitic cyst, kept in a special plastic container. Closure of the hernial ports is done with the help of Parietex Composite mesh (14x14cm) and fixation of it by means of transperitoneal stitching and ProRack MEDTRONIC COVIDIEN herniostappler. At the end of the operation anticommisural gel is introduced into the abdominal cavity.

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