Video of operations
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N.O.S.E
Simultaneous laparoscopic hysterectomy, right hemicolectomy with intracorporeal anastomosis creation and extraction of specimen via vagina (N.O.S.E. technique)
Автор: Puchkov K.V.
Simultaneous laparoscopic hysterectomy, right hemicolectomy with intracorporeal anastomosis creation and extraction of specimen via vagina (N.O.S.E. technique) Professor Puchkov K.V. is performing an operation (2013).
A 51 year-old woman was operated for myoma of uterus in combination with adenomyosis and hyperplasia of endometrium, carcinoid of the ascending colon, stage 2. In this film the technique of hysterectomy and ligation of the ascending branch of the uterine artery with a 10 mm LigaSure («MEDTRONIC COVIDIEN») instrument and «Karl Storz Company» instruments was demonstrated. Hemicolectomy was performed in lateral to medial approach with a 5 mm Harmonic Scalpel Ethicon instrument, with dissection of mesocolon along the superior mesenteric vein. Transection of the iliac colon and ascending colon was performed with Endo GIA («MEDTRONIC COVIDIEN») device with a 60 mm length. Anastomosis was performed intracorporeally, “side-to-side” by mechanic and manual stitching. Then the affected part of the colon was removed from the abdominal cavity through the colpotomic opening. The final stage – vagina was stitching by interrupted resorbable suture.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic approach in the treatment of retrocervical endometriosis, stage IV. Resection of rectum and specimen extraction via vagina (N.O.S.E. technique)
Автор: Puchkov K.V.
Laparoscopic approach in the treatment of retrocervical endometriosis, stage IV. Resection of rectum and specimen extraction via vagina (N.O.S.E. technique)Professor Puchkov K.V. is performing an operation (2011).
The patient was operated for infiltrating endometriosis, invading to the vaginal and rectal wall, with lumen stenosis more than 50 %. In this video the safe technique of excision of infiltrating endometriosis of the pelvic and exposure of the endometriosis infiltrate with a thin monopolar hook and a 5 mm Harmonic Scalpel («Ethicon») instrument with the preliminary moving ureters aside laterally is demonstrated. For the better visualization of the surgical site temporary fixation of ovaries by transabdominal stitches was done. The technique of resection of the area of the vaginal posterior wall and colon transsection with the linear endoscopic stitching device was presented. Then exteriorization of the affected area via the colpotomic opening took place, and dissection of the colon near the infiltrate and transvaginal introduction of the head of the stitching device into the adducting part was done. The final stage was stitching of vagina and formation of the circular “end-to-end” anastomosis of the large colon with a 31 mm («MEDTRONIC COVIDIEN») device.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
