Promontofixation

Laparoscopic access in the treatment of the genital prolapse. Resection of the cupula of vagina and nerve-preserving promontofixation

Автор: Puchkov K.V.

Теги: Puchkov K.V. Genital prolapse Promontofixation Mesh implant Monopolar electrode Laparoscopic resection Monocril thread LigaSure MEDTRONIC COVIDIEN

Laparoscopic access in the treatment of the genital prolapse. Resection of the cupula of vagina and nerve-preserving promontofixation.
Professor Puchkov K.V. is performing an operation (2017).

In this video the technique of vagina cupula resection and nerve-preserving promontofixation in case of the genital prolapse, stage 3, is presented. At the first stage dissection of promontorium and exposure of the right inferior hypogastric nerve is performed with the help of a 5 mm monopolar electrode. Then dissection of the anterior rectal wall and cupula of vagina is performed by means of a 6 mm LigaSure MEDTRONIC COVIDIEN instrument. At the second stage resection of the expanded and thin area of vagina is performed, it is stitched by Monocril 2-0 thread, with the simultaneous attaching it to the sacrouterine ligaments. Then the facilitated promontofixation by a soft MEDTRONIC COVIDIEN mesh implant is performed according to the author’s method (the patent obtained in 2015). In addition the anterior and posterior colporaphy with levatoroplasty are performed. The duration of the operation is one hour 40 minutes.

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

Laparoscopic supracervical hysterectomy and promontofixation

Автор: Puchkov K.V.

Теги: Puchkov K.V. Supracervical hysterectomy Uterine myoma Hysterectomy MEDTRONIC-COVIDIEN Liga Sure Genital prolapse Promontofixation Lightweight promontofixation Multiple myomas of uterus Sacrovaginopexy Prolapse of uterus Hysteroptosis

Laparoscopic supracervical hysterectomy and promontofixation.
Professor Puchkov K.V. is performing an operation (2012).

In this video the technique of performing of supracervical hysterectomy by means of a 10 mm Liga Sure MEDTRONIC COVIDIEN instrument and facilitated promontofixation according to the author’s own method is demonstrated (the patent, dated 2007). Operation is performed in case of combination of the genital prolapse and multiple myomas of uterus. Promontofixation is performed with the help of a soft MEDTRONIC COVIDIEN mesh implant. Operation is performed by the additional anterior and posterior colporrhaphy and levatoroplasty.

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

Laparoscopic supracervical hysterectomy and promontofixation

Автор: Bochorishvili R.G.

Теги: Bochorishvili R.G. KARL STORZ Supracervical hysterectomy Uterine myoma Hysterectomy MEDTRONIC-COVIDIEN Genital prolapse Promontofixation Bipolar forceps Prolapse of uterus Hysteroptosis Monopolar loop Monopolar SupraLoop Monopolar scissors

Laparoscopic supracervical hysterectomy and promontofixation
Professor Bochorishvili R.G. is performing an operation (France)

n this video the technique of laparoscopic supracervical hysterectomy and classic promontofixation with the use of combination of monopolar scissors MEDTRONIC COIVIDIEN and bipolar forceps (Karl Storz Company) is demonstrated. Excision of the body of uterus from its cervix is done by means of the original monopolar loop SupraLoop Karl Storz. Promontofixation is performed with the help of a special mesh implant with the split shreds. Uterus morcellation is done mechanically in a special plastic container. The video presents all detailed comments on of all the stages of the operation.

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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