Video of operations
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Implant 3D Max™ Mesh
Laparoscopic partial (270 gr.) Toupet fundoplication with cruroraphy and mesh implant.
Автор: Puchkov K.V.
Laparoscopic partial (270 gr.) Toupet fundoplication with cruroraphy and mesh implant.
Surgeon: professor K.V. Puchkov (2019).
The video shows the technique of correction of the paraesophageal hernia of the diaphragm (5 cm) by the laparoscopic approach. Mobilization of the gastroesophageal junction is performed with 5 mm LigaSure MEDTRONIC COVIDIEN instrument. Surgery is carried out quickly and bloodless. Attention is paid to the sequential intersection of the esophageal - phrenic and fundal-phrenic ligaments. Short gastric vessels intersect with the LigaSure instrument, under the esophageal space. Particular attention is paid to thorough cruroraphy with additional prosthetics of this zone with a special mesh implant of the 3D grid Parietex Composite and its fixation according to the safe author's technique with a flexible Relia Tack MEDTRONIC COVIDIEN bend hernia stapler. The implant is fixed by absorbable tackers, at 4,6,9,11 hours along the inner edge of the mesh at an angle to the esophagus. The paper entry vector is perpendicular to the pedicle of the diaphragm and from the pericardium to the esophagus. At the final stage, a partial Toupet fundoplication is performed (270 gr.). The duration of the operation is 80 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic correction of bilateral inguinal hernia
Автор: Puchkov K.V.
Laparoscopic correction of bilateral inguinal hernia
Professor Puchkov K.V. is performing an operation (2016).
In this film the technique of laparoscopic correction of bilateral inguinal hernia is demonstrated. Mobilization of hernial sac and dissection of spermatic cord is done with the help of a 5 mm Harmonic Scalpel Ethicon instrument. The exposure of the inguinal ligament, of connected tendineous aponeurosis, internal inferior epigastral artery, pubic tubercle from the both sides is demonstrated. The plasty of hernial ports is done with the help of 3D implant Max TM Mesh (Bard Davol Inc., U.S.A.). Unique 3D design of this prosthesis is elaborated specially for laparoscopic hernioplasty, manufactured separately for the left side and for the right side. The material for the mesh implant is non-covered polypropylene. The shape and contours of the implant totally correspond to the anatomic area, it provides maximum fitting and minimizes the probability of prosthesis shifting. Fixation of the prosthesis is done by a herniostapler ProTack MEDTRONIC COVIDIEN. Peritonization of the abdomen is done by “Monocril” thread. Operation duration is 44 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
