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Laparoscopic approach in surgical treatment of infiltrative endometriosis

Laparoscopic approach in surgical treatment of infiltrative endometriosis
Professor Bochorishvili R.G. is operating on (France) (2017).

The patient is 42, has infiltrating endometriosis, invading to the wall of the urinary bladder. In this video the technique of exposure of endometrioid infiltrate by means of bipolar forceps and endoscopic scissors, with the preliminary exposure of the right ureter is demonstrated. During cystoscopy invasion of endometrioid infiltrate to the mucous layer has been detected. Then resection of the affected area of the urinary bladder is done and atraumatic interrupted Z-suture is placed, using “Monocril” 2-0 thread. It is required to take control of suture-whether it is hermetic or not, and to place additional suture in the area of the urinary bladder.

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 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 supracervical hysterectomy and promontofixation

Laparoscopic supracervical hysterectomy and promontofixation
Professor Bochorishvili R.G. is performing an operation (France)

n this video the technique of laparoscopic supracervical hysterectomy and classic promontofixation with the use of combination of monopolar scissors MEDTRONIC COIVIDIEN and bipolar forceps (Karl Storz Company) is demonstrated. Excision of the body of uterus from its cervix is done by means of the original monopolar loop SupraLoop Karl Storz. Promontofixation is performed with the help of a special mesh implant with the split shreds. Uterus morcellation is done mechanically in a special plastic container. The video presents all detailed comments on of all the stages of the operation.

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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