Video of operations
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V-lock MEDTRONIC COVIDIEN
Laparoscopic dissection of the nodular adenomyosis (the node is 7 cm) with the temporary occlusion of the arterial stream
Автор: Puchkov K.V.
Laparoscopic dissection of the nodular adenomyosis (the node is 7 cm) with the temporary occlusion of the arterial stream Professor Puchkov K.V. is performing an operation (2015)
In this video the technique of laparoscopic dissection of the nodular adenomyosis with the temporary occlusion of the arterial stream (the internal iliac arteries) according to the author’s own method (the patent, dated 2007) is presented. A 32 year-old patient is operated on for the nodular adenomyosis (the node is 7 cm) on the left lateral wall. On the MRT image the endometrioid cavity, having the diameter 5 cm with the fluid contents, has been found out in the centre of the node. At the first stage, immediately after the bifurcation of the common iliac artery the pelvic abdomen is opened, and De Bekey vascular forceps are temporarily applied onto the internal artery. It gives a possibility to exclude blood loss during the operation. Then, using a monopolar electrode, the muscular tissue is dissected up to the node, and by means of two 10 mm hard forceps and the monopolar electrode resection of the node from the surrounding tissues is performed. The wound is stitched by separate П- shaped stitches and the additional V-lock system (MEDTRONIC COVIDIEN). Then, the forceps are removed from the internal iliac artery, and blood flow is restored in the uterus. The adenomyous node is removed from the abdominal cavity with the help of Rotocut G1 electromechanical morcellation (Karl Storz Company). It is seen, that the node has a cavity, and ”Chocolade colour” contents are pouring out from it. The anticommisural gel is applied on the wound line.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic left resection of kidney
Автор: Gallyamov E.A.
Laparoscopic left resection of kidney.
Professor Gallyamov E.A. is performing an operation (2013).
In this video the technique of laparoscopic left resection of kidney for malignant tumour, located in the lower pole, is demonstrated. Kidney mobilization and dissection of the renal artery and vein are done with the help of a 5mm Harmonic Scalpel Ethicon instrument. Hemostasis by means of manual stitching of the branch of the renal artery is demonstrated. Temporary ischemia is due to applying forceps onto the artery. Kidney resection is performed by means of 5 mm scissors by a “cold method” within the boundaries of healthy tissues. Kidney wound is stitched by V-lock system (MEDTRONIC COVIDIEN). Then the forceps are removed from the renal artery, and blood flow is restored in kidney. The tumour is placed into a special plastic container MEDTRONIC COVIDIEN, and is removed through the umbilical access.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic right resection of kidney for malignant tumour (4 cm)
Автор: Puchkov K.V.
Laparoscopic right resection of kidney for malignant tumour (4 cm)
Professor Puchkov K.V. is performing an operation (2012).
In this video the technique of laparoscopic right resection of kidney for malignant tumour (4 cm) is demonstrated. Kidney mobilization and dissection of the renal artery and veins are done by means of a 5 mm Thunderbeat Olympus instrument, when the conception “one operation-one instrument” has been realized. Tissue dissection is performed fast and without blood loss. Then De Bekey vascular forceps are transiently applied onto the renal artery. Kidney resection is performed by means of a 5 mm Thunderbeat Olympus instrument within the boundaries of healthy tissues. The wound is stitched by V-lock (MEDTRONIC COVIDIEN) system, using monofilament resorbable polydioxanone thread, that is oriented in space with the set angle. It gives a possibility to thread to slide freely in one direction and not to be shifted in the opposite direction. This system gives a possibility to stitch the kidney wound layer by layer and fast with the proper hemostasis. Then the forceps are removed from the renal artery, and blood supply is restored in the kidney. Ischemia time is 25 minutes. The tumour is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed through the umbilical access. Operation duration is 45 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic myomectomy with the temporary occlusion of the arterial stream
Автор: Puchkov K.V.
Laparoscopic myomectomy with the temporary occlusion of the arterial stream.
Professor Puchkov K.V. is performing an operation (2011).
In this video the technique of laparoscopic myomectomy with the temporary occlusion of the arterial stream (internal iliac arteries) according to the author’s own method (the patent, dated 2007) is presented. A 32 year-old patient is operated on for the intramural myoma of uterus-9 cm on the posterior wall and 2.5 cm on the left lateral wall. At the first stage, immediately after the bifurcation of the common iliac artery, the pelvic abdomen is opened, and De Bekey vascular forceps are temporarily applied onto the internal artery. It gives a possibility to exclude the bloodloss during the operation. Then, using a monopolar electrode, the muscular tissue is dissected up to the myomatous node, and by means of two 10 mm hard forceps the myoma is enucleated from the surrounding tissues without opening the cavity of uterus. The wound is stitched by V-lock system (MEDTRONIC COVIDIEN), made of monofilament absorbable polydioxanone thread, that is oriented in space with the set angle. It gives a possibility to the thread to slide freely in one direction and practically not to be shifted in the opposite direction. This system gives a possibility to stitch the wound fast and layer by layer with the proper hemostasis. Then, the forceps are removed from the internal iliac artery, and blood circulation is restored in the uterus. The myomatous node is removed from the abdominal cavity by means of Rotocut G1 (Karl Storz Сompany) electromechanical morcellation. Anticommisural gel is applied onto the wound line.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
