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Laparoscopic resection of vaginal wall and rectal wall in case of endometriosis infiltration

Laparoscopic resection of vaginal wall and rectal wall in case of endometriosis infiltration
The operation is performed by Professor Puchkov K.V. (2017).

The patient was admitted with the infiltrating endometriosis that invades to the anterior wall of rectum without deformity of the lumen, it also invades to the posterior fornix of vagina. In this video the technique of exposure of endometriosis infiltrate from the surrounding tissues with using of the monopolar electrode and Liga Sure instrument («MEDTRONIC COVIDIEN») has been demonstrated. The affected area of vagina was resected and removed with the infiltrate. The anterior intestinal wall alongside with the vaginal area and infiltrate were resected by the linear endoscopic («MEDTRONIC COVIDIEN») stitching device in the transverse direction. The specimen was removed from the abdominal cavity through the vagina. The wound was stitched by the single-knot suture, using Monocril 2-0 thread.

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

Laparoscopic access 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 operation (France, 2017). Professor Bochoroshvili R.G. is commenting on (France, 2017).

The patient is with infiltrating endometriosis, invading to the vaginal wall without involvement of rectum into the process. In this video the technique of exposure of the endometrioid infiltrate by means of bipolar forceps and endoscopic scissors without the preliminary exposure of the ureter is presented. And the technique of resection of the posterior vaginal wall with further stitching, using “Monocril” 1-0 thread, is demonstrated, as well.

Laparoscopic approach in the treatment of retrocervical endometriosis, stage IV. Resection of rectum and specimen extraction via vagina (N.O.S.E. technique)

Laparoscopic approach in the treatment of retrocervical endometriosis, stage IV. Resection of rectum and specimen extraction via vagina (N.O.S.E. technique)
Professor Puchkov K.V. is performing an operation (2011).

The patient was operated for infiltrating endometriosis, invading to the vaginal and rectal wall, with lumen stenosis more than 50 %. In this video the safe technique of excision of infiltrating endometriosis of the pelvic and exposure of the endometriosis infiltrate with a thin monopolar hook and a 5 mm Harmonic Scalpel («Ethicon») instrument with the preliminary moving ureters aside laterally is demonstrated. For the better visualization of the surgical site temporary fixation of ovaries by transabdominal stitches was done. The technique of resection of the area of the vaginal posterior wall and colon transsection with the linear endoscopic stitching device was presented. Then exteriorization of the affected area via the colpotomic opening took place, and dissection of the colon near the infiltrate and transvaginal introduction of the head of the stitching device into the adducting part was done. The final stage was stitching of vagina and formation of the circular “end-to-end” anastomosis of the large colon with a 31 mm («MEDTRONIC COVIDIEN») device.

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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