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MainMINIMALLY INVASIVE PROCEDURESGynecologyRetrocervical endometriosis of large colonShaving of large colon

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Laparoscopic “shaving” of the rectal wall in case of retrocervical endometriosis

Laparoscopic “shaving” of the rectal wall in case of retrocervical endometriosis
The operation is performed by Professor Puchkov K.V. (2017).

The 29 years old patient with the deep infiltrating endometriosis. According to MRT investigation there is the invasion of endometriosis focus in the rectal wall, without the involvement of the submucous layer into the process. In this video the technique of exposure of the endometriosis infiltrate from the surrounding tissues with using of 5 mm monopolar electrode is demonstrated. A careful dissection of ureters was done, and they were led aside laterally. An affected area of the colon was dissected within the submucous layer and was stitched by the interrupted manual suture, using “Polysorb” 3-0 thread. The operation duration was 110 minutes.

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

Laparoscopic approach in the treatment of the retrocervical endometriosis with the rectal involvement

Laparoscopic approach in the treatment of the retrocervical endometriosis with the rectal involvement.
Professor Malzoni M. is performing an operation (2012)

A 32 year-old patient was operated for the infiltrating endometriosis, invading to the rectal wall. In this video the technique of the exposure of the endometriosis infiltrate with using of the bipolar forceps and endoscopic scissors with the preliminary exposure of the left ureter is demonstrated. “Shaving” of the endometriosis focus by the ”cold” way, using 5 mm endoscopic scissors had been performed. Coagulation of the endometriosis foci of the pelvic abdomen was done with using of the bipolar forceps.

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

Laparoscopic approach in the treatment of retrocervical endometriosis with the involvement of the posterior wall of vagina

Laparoscopic access in the treatment of retrocervical endometriosis with the involvement of the posterior wall of vagina.
Professor Kanis M. is performing an approach (France) (2012)

A 30 year-old patient was operated for infiltrating endometriosis, invading to the posterior wall of vagina and involving the anterior wall of rectum. In this video the technique of exposure of the endometriosis infiltration with using of the bipolar forceps and endoscopic scissors is demonstrated. The infiltration was exposed and the resection of the affected area of the vaginal wall with using of a needle-shaped monopolar electrode was performed. Then was placing an atraumatic interrupted Z-shaped suture, using “Monopolar” 2-0 thread. “Shaving” of the endometriosis foci was done, using the ”cold” way with a 5 mm endoscopic scissors.

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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