Excision of fistula

Excision of presacral teratoma (8 cm), complicated by fistula, using laparoscopic approach

Автор: Puchkov K.V.

Теги: Puchkov K.V. LigaSure MEDTRONIC COVIDIEN Presacral cyst Perineal fistula Excision of fistula Excision of presacral teratoma Dissection of rectum

Excision of presacral teratoma (8 cm), complicated by fistula, using laparoscopic approach
Professor Puchkov K.V. is performing an operation (2016).

This patient was operated for perineal fistula several times. During investigation presacral teratoma (the size is 8 cm) was found out, it had draining outside. Fistula was opened on the skin of the sacrococcygeal area. In this film the technique of laparoscopic dissection of rectum and exposure of the cyst out of the surrounding tissue by a 5 mm LigaSure («MEDTRONIC COVIDIEN») instrument is demonstrated. At the final stage excision of fistula by perineal access and its removal alongside with the cyst was performed. The cavity was drained from the perineal side, and pelvic abdomen was restored by continuous suture, using laparoscopic approach. The way the excised fistula and teratoma look like has been shown. Operation duration was 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.

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