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Simultaneous laparoscopic hysterectomy, right hemicolectomy with intracorporeal anastomosis creation and extraction of specimen via vagina (N.O.S.E. technique)

Simultaneous laparoscopic hysterectomy, right hemicolectomy with intracorporeal anastomosis creation and extraction of specimen via vagina (N.O.S.E. technique)
Professor Puchkov K.V. is performing an operation (2013).

A 51 year-old woman was operated for myoma of uterus in combination with adenomyosis and hyperplasia of endometrium, carcinoid of the ascending colon, stage 2. In this film the technique of hysterectomy and ligation of the ascending branch of the uterine artery with a 10 mm LigaSure («MEDTRONIC COVIDIEN») instrument and «Karl Storz Company» instruments was demonstrated. Hemicolectomy was performed in lateral to medial approach with a 5 mm Harmonic Scalpel Ethicon instrument, with dissection of mesocolon along the superior mesenteric vein. Transection of the iliac colon and ascending colon was performed with Endo GIA («MEDTRONIC COVIDIEN») device with a 60 mm length. Anastomosis was performed intracorporeally, “side-to-side” by mechanic and manual stitching. Then the affected part of the colon was removed from the abdominal cavity through the colpotomic opening. The final stage – vagina was stitching by interrupted resorbable suture.

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

Simultaneous laparoscopic cholecystectomy and supracervical hysterectomy, using the single laparoscopic access

Simultaneous laparoscopic cholecystectomy and supracervical hysterectomy, using the single laparoscopic access.
Professor Puchkov K.V. is performing an operation (2013).

In this video the technique of laparoscopic cholecystectomy, using the single port (COVIDIEN SILS port) in case of calculous cholecystitis, is presented. The sizes of the gall bladder are the following: 14x7 cm. The technique of trancscutanous fixing stitching, exposure of the vesicular duct and arteries, using COVIDIEN mini retract instrument and clipping of these structures by a 10 mm automatic applicator have been demonstrated. Hysterectomy is performed by means of a 10 mm Liga Sure MEDTRONIC COVIDIEN instrument. Dissection of the uterine body from its cervix is performed by Karl Storz monopolar loop. Abdomen peritonization and stitching of the sacrouterine ligaments are done with the help of Endo Stitch COVIDIEN instrument.

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.

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