Video of operations
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Pro Tack herniostappler
Laparoscopic correction of direct inguinal hernia in a female
Автор: Puchkov K.V.
Laparoscopic correction of direct inguinal hernia in a female.Professor Puchkov K.V. is performing an operation (2017).
In this film the technique of laparoscopic correction of direct right inguinal hernia in a female is presented. Mobilization of hernial sac, lipoma and dissection of the round ligament 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 and round uterine ligament is demonstrated. Plasty of hernial ports is done by means of Bard 3d Max LIGHT Mesh, that is the facilitated analogue of 3DMaxmesh, it has 50% lesser weight, provides bigger scope of vision of the surgical site without losing firmness of the implant. The unique 3D design of this prosthesis has been elaborated specially for laparoscopic hernioplasty. The material of mesh implant is non-covered polypropylene. The shape and contours of the implant completely correspond to this anatomic area, that provides maximum close-fitting and minimizes the probability of shifting of the prosthesis. Fixation of the prosthesis is done by a herniostapler ProTack MEDTRONIC COVIDIEN. Peritonization of abdomen is done by ‘Monocril” thread. Operation duration is 24 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 postoperation ventral hernia-the kind of mesh implant in three months
Автор: Puchkov K.V.
Laparoscopic correction of postoperation ventral hernia-the kind of mesh implant in three months. Professor Puchkov K.V. is performing an operation (2016).
3 months ago a female patient was operated on laparoscopically for postoperation ventral hernia by means of composite mesh Parietex Composite (20x20 cm), and fixation of it was done by transperitoneal stitches and a herniostapler ProTack MEDTRONIC COVIDIEN (Professor Puchkov K.V. had operated her). In case of repeated operation for genital prolapse there is an indication to set mesh on the side of the abdominal cavity. There is no adhesion near the previous mesh implant.
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 postoperation ventral hernia (16 cm)
Автор: Puchkov K.V.
Laparoscopic correction of postoperation ventral hernia (16 cm). Professor Puchkov K.V. is performing an operation (2016).
A female patient with the excessive body mass has been undergone 2 lapapotomic operations, and a big ventral hernia has been formed along the midline. The size of hernial port is up to 16 cm. A concomitant disease is a compensated liver cirrhosis. In the film the technique of adhesiolysis by means of a 5 mm LigaSure MEDTRONIC COVIDIEN is demonstrated, then extraction of hernial contents from the hernial sac and removal of the round ligament is fulfilled. The final stage is a closure of hernial ports by composite mesh- Parietex Composite (30x30 cm) and fixation of it by transperitoneal stitches and a herniostapler ProTack MEDTRONIC COVIDIEN. At the end of operation anticommisural gel is introduced into the abdominal cavity. Operation duration is 1 hour 30 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 postoperative ventral hernia with a mesh implant
Автор: Puchkov K.V.
Laparoscopic correction of postoperative ventral hernia with a mesh implant Professor Puchkov K.V. is performing an operation (2013).
In this video the technique of adhesiolysis by “cold” way, using the endoscopic scissors and a 5 mm LigaSure MEDTRONIC COVIDIEN instrument, and possible versions of hernioraphy (stitching of hernial ports) - by endoscopic and transperitoneal stitches, is demonstrated. The final stage is a closure of hernial ports by composite mesh Parietex Composite and its fixation by transperitoneal stitches and a herniostapler ProTack MEDTRONIC COVIDIEN.
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
Автор: Puchkov K.V.
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.
Laparoscopic correction of umbilical hernia in a patient with the excessive weight.
Автор: Puchkov K.V
Laparoscopic correction of umbilical hernia in a patient with the excessive weight. Professor Puchkov K.V. is performing an operation (2012).
In this film laparoscopic technique of closure of hernial port by mesh PhysioMeshEthicon and its fixation by means of herniostaplers with resorbable and non-resorbable tackers AbsorboTack and ProTack MEDTRONIC COVIDIEN is demonstrated.
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 postoperation ventral hernia where relapse has happened several times
Автор: Puchkov K.V.
Laparoscopic correction of postoperation ventral hernia where relapse has happened several times. Professor Puchkov K.V. is performing an operation (2016).
A male patient with the excessive body mass has had 3 laparotomic operations (midline, in the right and left subcostal areas) for pancreonecrosis. Then, he was operated twice laparotomically for ventral hernia, once - laparoscopically, using mesh implants. In this film the technique of adhesiolysis by ”cold” way by means of the endoscopic scissors and a 5 mm LigaSure MEDTRONIC COVIDIEN instrument is demonstrated. The final stage is a closure of the hernial ports by composite mesh Parietex Composite (30x30 cm) and its fixation by transperitoneal stitches and a herniostapler ProTack MEDTRONIC COVIDIEN. At the end of operation anticommisural gel is introduced into the abdominal cavity. Operation duration is 1 hour 50 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
