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Laparoscopic cholecystectomy, using the single access (S.I.L.S.Port COVIDIEN)

Laparoscopic cholecystectomy, using the single access (S.I.L.S.Port COVIDIEN).
Professor Puchkov K.V. is performing an operation (2018).

In this video the technique of laparoscopic cholecystectomy for chronic calculous cholecystitis, using the single port (SILS port COVIDIEN), is presented. The sizes of the gallbladder are as follows: 14x7 cm. The doctor is commenting on positioning of the port. Taking into consideration big sizes of the gallbladder, its puncture is being done and evacuation of 100 mL of thick bile is taking place. The technique of transcutaneous fixing stitches, a careful exposure of the cystic duct and artery by a 5 mm monopolar hook and mini retract COVIDIEN instrument and clipping of all these structures by a 5 mm automatic applicator is presented. The dissected gallbladder is removed from the abdominal cavity in a plastic container.

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

Laparoscopic adnexectomy, using the single access (S.I.L.S.) and LigaSure MEDTRONIC instrument

Laparoscopic adnexectomy, using the single access (S.I.L.S.) and LigaSure MEDTRONIC instrument.
Professor Puchkov K.V. is performing an operation (2017).

In this video the technique of laparoscopic adnexectomy, using the single port (SILS port COVIDIEN), is presented. A 50 year-old patient has been operated on for serous cystadenoma of ovary. Cyst sizes are as follows: 8x6 cm. The technique of port (SILS COVIDIEN) introduction into the abdominal cavity is demonstrated. Visualization of the surgical site is done due to a 5 mm elongated laparoscope (KARL STORZ Company). For fast and successful operation performing Clermont Ferrand (KARL STORZ Company) uterine manipulator and a 5 mm LigaSure MEDTRONIC instrument are used. For this operation one twisting instrument- a 5 mm soft forceps –are required. The preparation is placed into a special plastic container by KARL STORZ Company, that is removed alongside with the port via the umbilical area. The duration of the laparoscopic stage is 4 minutes.

Laparoscopic adnexectomy with the single access (S.I.L.S.), using LigaSure MEDTRONIC instrument

Laparoscopic adnexectomy with the single access (S.I.L.S.), using LigaSure MEDTRONIC instrument.
Professor Puchkov K.V. is performing an operation (2017).

In this video the technique of laparoscopic adnexectomy, using the single port (SILS port COVIDIEN), is presented. A 52 year-old patient is being operated on for serous cystadenoma. The sizes of the cyst are as follows: 9x7 cm. There is an indication to perform on an operation, using the single port. Visualization of the surgical site is done with the help of a 5 mm elongated laparoscope, produced by KARL STORZ Company. For fast and successful operation performing Clermont Ferrand (KARL STORZ Company) uterine manipulator is used. For this operation one twisting instrument is required-it is 5 mm soft forceps. The preparation is placed into a special plastic container (produced by KARL STORZ Company) that is removed alongside with the port through the umbilical area. The duration of the laparoscopic stage of operation is 3 minutes.

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

Laparoscopic cholecystectomy, using the single access-SILS (concrement is 6 cm, contents volume 400 mL)

Laparoscopic cholecystectomy, using the single access-SILS (concrement is 6 cm, contents volume 400 mL)
Professor Puchkov K.V. is performing an operation (2017).

The technique of laparoscopic cholecystectomy, using the single port (SILS port COVIDIEN) for chronic calculous cholecystitis and gallbladder hydrops, is presented. The sizes of the gallbladder are as follows: 20x10 cm (the volume is 400 mL), the size of a stone is 6 cm. Taking into consideration big sizes of the gallbladder, its preliminary puncture is done, as well as evacuation of its 400 mL contents. The technique of transcutaneous fixing stitches is shown, as well as a careful exposure of the cystic duct and artery by a 5 mm monopolar hook and by mini retract COVIDIEN instrument, and clipping of these structures by means of a 5 mm automatic applicator. The removed gallbladder is pulled out from the abdominal cavity in a plastic container. The way the removed gallbladder and concrements look like is shown in this video.

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

Laparoscopic adnexectomy on the right, using the single access (S.I.L.S. Port COVIDIEN)

Laparoscopic adnexectomy on the right, using the single access (S.I.L.S. Port COVIDIEN).
Professor Puchkov K.V. is performing an operation (2016).

In this video the technique of laparoscopic adnexectomy, using the single port (SILS port COVIDIEN), is presented. A 54 year-old patient has been operated on for serous cystadenoma. The sizes of the cyst are the following: 8x7 cm. In this video the technique of ligating and dissection of infundibulopelvic ligament of ovary by a 5 mm LigaSure MEDTRONIC COVIDIEN instrument is demonstrated. The preparation is placed into a special plastic container (KARL STORZ Company) and is removed alongside with the port through the umbilical area. Operation duration is 9 minutes.

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

Laparoscopic bilateral ovariectomy, using the single port ( COVIDIEN SILS port)

Laparoscopic bilateral ovariectomy, using the single port ( COVIDIEN SILS port).
Professor Puchkov K.V. is performing an operation (2015).

A 41-year-old patient has been operated on for hysterectomy and radical operation for cancer of the mammary gland. Oncologists’ opinion was that bilateral ovariectomy was indicated for the further treatment of the main disease. In this video the technique of laparoscopic removal of ovaries, using a 5 mm Liga Sure MEDTRONIC COVIDIEN instrument and the single port (COVIDIEN SILS port) has been demonstrated. The operation is fast and without bloodloss. Preparation is removed in a special plastic container. Operation duration is 15 minutes.

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

Laparoscopic cholecystectomy, using the single access (S.I.L.S. Port COVIDIEN)

Laparoscopic cholecystectomy, using the single access (S.I.L.S. Port COVIDIEN).
Professor Puchkov K.V. is performing an operation. (2015).

In this video the technique of laparoscopic cholecystectomy, using the single port (SILS port COVIDIEN) for chronic calculous cholecystitis, is presented. The size of the gallbladder is as follows: 12x5 cm. The technique of transcutaneous fixing stitches, a careful exposure of the cystic duct and arteries by a 5 mm monopolar hook and mini retract COVIDIEN instrument and clipping of these structures by a 10 mm applicator is demonstrated.

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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