Video of operations
Information is intellectual property.
All rights reserved in accordance with the legislation of the RF
Supracervical hysterectomy
Laparoscopic myomectomy. Removal from the abdominal cavity by means of morcelation
Автор: Puchkov K.V.
Laparoscopic myomectomy. Removal from the abdominal cavity by means of morcelation. Professor Puchkov K.V. is performing an operation (2018).
The patient is 40 years old. In her anamnesis it was mentioned that several years ago she was operated on for laparoscopic supracervical hysterectomy (the weight of her uterus was 2 kg); the uterus was removed from the abdominal cavity by means of morcelation. In this video the technique of the laparoscopic myomectomy is demonstrated where myomas (4 nodes, having the size 2-5 cm) have been dissected on the abdomen of the right lateral canal, in the left ileal area and pre-bladder space. Removal of nodes from the abdominal cavity is done with the help of electromechanical morcelation Rotocut G1 (Karl Storz Company) into the plastic container. The conclusion is as follows: it is necessary to observe carefully the abdominal cavity and to do proper lavage of it after morcelation.
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 without appendages
Автор: Puchkov K.V.
Laparoscopic supracervical hysterectomy without appendagesProfessor Puchkov K.v. is performing an operation (2017).
A 52 year-old patient has been operated on. The diagnosis is as follows: multiple myomas of uterus, adenomyosis, metrorrhagia. In this video the technique of uterus removal without appendages, is demonstrated, using laparoscopic way, by means of a 5 mm Ligasure MEDTRONIC COVIDIEN instrument. Due to this instrument the operation is performed fast and without blood loss. Attention is paid to the consecutive transsection of the round ligaments, fallopian tubes and urinary vessels. Dissection of uterus from the cervix is performed with the help of a special monopolar loop, produced by Karl Storz Company, that gives a possibility to dissect the tissue fast. A special attention is paid to the technique of closure of the uterine cervix and stitching of sacrouterine ligaments by manual stitching to prevent the prolapse of the uterine cervix. The body of the uterus is removed from the abdominal cavity by means of electromechanical Rotocut G1 morcellation, produced by Karl Storz Company.
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 without appendages. With no mounting of the video
Автор: Puchkov K.V.
Laparoscopic supracervical hysterectomy without appendages. With no mounting of the video The operation is performed by Professor Puchkov K.V. (2017).
In this video the classic technique of removal of uterus without appendages, using a 5 mm MEDTRONIC COVIDIEN instrument, is presented; it is performed laparoscopically, without cutting and on-line. The operation is performed fast and without bloodloss. Attention should be paid to the consecutive transsection of the round ligaments of uterus, fallopian tubes and uterine vessels. Vascular fascicle handling is done strictly at the level of the ascending branch of the uterine artery. Uterus dissection from the cervix is performed with the help of a special monopolar loop, produced by KARL STORZ Company, that gives a possibility to transsect the tissue fast. A special attention should be paid to the closure of uterine cervix and stitching of sacrouterine ligaments for the sake of prevention of cervix prolapse. The duration of the operation is 19 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
The use of monopolar SupraLoop (Karl Storz Company) in case of laparoscopic supracervical hysterectomy
Автор: Puchkov K.V.
The use of monopolar SupraLoop (Karl Storz Company) in case of laparoscopic supracervical hysterectomy. Professor Puchkov K.V. is performing an operation (2017)
The patient has been operated on for the multiple myomas of uterus. In this video the technique of uterine cervix dissection by means of a special monopolar SupraLoop (Karl Storz Company) has been shown .This loop gives a possibility to dissect the tissue fast and to obtain cervix stump with the little crater.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
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.
Simultaneous laparoscopic cholecystectomy and supracervical hysterectomy, using the single laparoscopic access
Автор: Puchkov K.V.
Simultaneous laparoscopic cholecystectomy and supracervical hysterectomy, using the single laparoscopic access.Professor Puchkov K.V. is performing an operation (2013).
In this video the technique of laparoscopic cholecystectomy, using the single port (COVIDIEN SILS port) in case of calculous cholecystitis, is presented. The sizes of the gall bladder are the following: 14x7 cm. The technique of trancscutanous fixing stitching, exposure of the vesicular duct and arteries, using COVIDIEN mini retract instrument and clipping of these structures by a 10 mm automatic applicator have been demonstrated. Hysterectomy is performed by means of a 10 mm Liga Sure MEDTRONIC COVIDIEN instrument. Dissection of the uterine body from its cervix is performed by Karl Storz monopolar loop. Abdomen peritonization and stitching of the sacrouterine ligaments are done with the help of Endo Stitch COVIDIEN instrument.
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.
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.
