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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 left nephrectomy

Laparoscopic left nephrectomy.
Professor Gallyamov E.A. is performing an operation (2013).

The author is commenting on his operation. In the film the technique of laparoscopic left nephrectomy for renal cancer is presented. The access to kidney hilus is done by bringing down the splenic angle of the large colon and dissection of tissues between Toldt’s fascia and Fascia Gerotae by a 10 mm LigaSure (MEDTRONIC COVIDIEN) instrument and Karl Storz Company instruments. The renal vein and artery are ligated by the system Weck Hem-o-Lock and are transected by the endoscopic scissors. The preparation is placed into a special plastic container and is removed through the access according to Pfannenstil.

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 partial adrenalectomy, using Thunderbeat system and PerClot hemostatic

Laparoscopic partial adrenalectomy, using Thunderbeat system and PerClot hemostatic.

Professor Puchkov K.V. is performing an operation (2012).

The operation is performed for benign tumour of the adrenal gland (the diameter is 6 cm), it is located in the lateral pedicle. In this film the technique of organopreserving operation, dissection of tissues by endoscopic scissors with the exposure of the inferior vena cava and adrenal vein is presented. Transection of the vascular structures and tissue of the adrenal gland is performed by a 5 mm Thunderbeat Olympus instrument. The operation is performed fast and without blood loss. Operation duration is 25 minutes. Additional hemostasis is done by PerClot system (Italy).

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

Laparoscopic partial adrenalectomy

Laparoscopic partial adrenalectomy.
Professor Puchkov K.V. is performing an operation (2012).

The operation is performed for benign tumour of the adrenal gland, having the diameter 12 cm. In this film the technique of organopreserving operation, dissection of tissues with the help of endoscopic scissors and exposure of the inferior vena cava and adrenal vein is presented. Transection of the vascular structures and tissue of the adrenal gland is performed by a 5 mm LigaSure MEDTRONIC COVIDIEN instrument. The use of modern ligating systems gives a possibility not to perform an additional hemostasis of the stump of the adrenal gland and not to leave drainage in 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.

Laparoscopic technique of enucleoresection of kidney for cancer without ischemia

Laparoscopic technique of enucleoresection of kidney for cancer without ischemia
Professor Puchkov K.V. is performing an operation (2006).

In this video the technique of laparoscopic left enucleoresection of kidney for renal cell carcinoma (RCC) (2 cm) is demonstrated. Kidney mobilization and fat dissection around the tumour are done with the help of a 10 mm LigaSure (COVISDIEN) instrument and Karl Storz Company instruments. Fat above the tumour is carefully removed and is sent for morphological investigation to determine exactly the stage of the process. The tumour is removed alongside with the kidney tissue -5-6 mm from the edge by the “cold” method by means of 5 mm endoscopic scissors. An atraumatic continuous suture is placed on the kidney wound, using ‘Vicryl” 2-0 thread and fixing clips Hem-o-lock (USA). For the sake of additional hemostasis the wound is covered by Tachocomb plate (Austria). The tumour and fat are placed into a special plastic container MEDTRONIC COVIDIEN and are removed via troacar access. Operation duration is 60 minutes.

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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