Resection of the wall of the urinary bladder
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Laparoscopic resection of the wall of the urinary bladder in case of infiltrating endometriosis
The author: Puchkov K.V.
Laparoscopic resection of the wall of the urinary bladder in case of infiltrating endometriosis. Professor Puchkov K.V . is performing an operation (2016).
A 28 year-old patient is operated on for infiltrating endometriosis, invading to the wall of rectum and urinary bladder. According to cystoscopy data on the mucous layer of the urinary bladder there is tumour-like excrescence of a black colour-2-3 cm-with the fluid component inside. In this video the technique of endometrioid infiltrate exposure from the surrounding tissues by means of a 5 mm monopolar electrode is demonstrated. An affected area of the urinary bladder is dissected with the help of 5 mm MEDTRONIC-COVIDIEN ultrasonic scissors. Then it is stitched by “Polysorb” 3-0 and “Monocril” 3-0 thread. Before laparoscopy beginning stent is inserted into the lumen of the left ureter. One should take control of the stitched wound-whether it is hermetic or not.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.