Extirpation of uterus

Laparotomic cytoreductive operation for ovarian cancer, stage III C

Laparotomic cytoreductive operation for ovarian cancer, stage III C.
Doctor Todua I.V. is performing an operation (2017).

In this video the technique of greater omentum extirpation and peritoneumectomy with uterine cervix extirpation is presented. A 69 year-old patient is being operated on for ovarian cancer, stage III C, after the three courses of neoadjuvant chemotherapy. The operation starts with the greater omentum extirpation that is performed with the help of ultrasonic scissors, monopolar and bipolar energy. Peritoneumectomy is performed at the next stage. Then extirpation of uterine cervix is performed. The author is commenting on all details of all stages of his operation.

Laparoscopic hysterectomy without appendages

Laparoscopic hysterectomy without appendages.
Professor Puchkov K.V. is performing an operation (2012)

The patient has myomatous node-14 cm, that is located in the uterine cervix. And there is compression of ureters by myoma, and dilatation of renal pelvis there. In this video the laparoscopic technique of uterus removal without appendages by means of a 5 mm Thunderbeat Olympus instrument is demonstrated. Due to this instrument the conception “one operation- one instrument” has been realized. The operation is performed fast and without bloodloss. One should pay attention to the consecutive transsection of the round ligaments, fallopian tubes and uterine vessels. The exposure of the node is done without opening of the pelvic fascia, that provides excluding of ureters injury. A special attention should be paid to the closure of vagina stump and stitching of the sacrouterine ligaments to prevent the genital prolapse.

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