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Laparoscopic appendectomy for myxoma

Laparoscopic appendectomy for myxoma.
Professor Puchkov K.V. is performing an operation (2018).

The operation is carried out with myxome of the appendix 18x7cm. The film shows the technique of dissection of the mesentery of the appendix with 5 mm LigaSure MEDTRONIC COVIDIEN instrument and the instruments of the Karl Storz Company. Appendix is cut in the transverse direction with the EndoGIA 45mm (MEDTRONIC COVIDIEN) linear stapler. The specimen was placed in special plastic container MEDTRONIC COVIDIEN, which was removed through umbilical access. The duration of the operation was 20 minutes.

Laparoscopic adnexectomy, using the single access (S.I.L.S.) and LigaSure MEDTRONIC instrument

Laparoscopic adnexectomy, using the single access (S.I.L.S.) and LigaSure MEDTRONIC instrument.
Professor Puchkov K.V. is performing an operation (2017).

In this video the technique of laparoscopic adnexectomy, using the single port (SILS port COVIDIEN), is presented. A 50 year-old patient has been operated on for serous cystadenoma of ovary. Cyst sizes are as follows: 8x6 cm. The technique of port (SILS COVIDIEN) introduction into the abdominal cavity is demonstrated. Visualization of the surgical site is done due to a 5 mm elongated laparoscope (KARL STORZ Company). For fast and successful operation performing Clermont Ferrand (KARL STORZ Company) uterine manipulator and a 5 mm LigaSure MEDTRONIC instrument are used. For this operation one twisting instrument- a 5 mm soft forceps –are required. The preparation is placed into a special plastic container by KARL STORZ Company, that is removed alongside with the port via the umbilical area. The duration of the laparoscopic stage is 4 minutes.

Laparoscopic right resection of kidney with wound stitching

Laparoscopic right resection of kidney with wound stitching.
Professor Puchkov K.V. is performing an operation (2017).

In this film the laparoscopic resection of the right kidney for malignant tumour (4.5 cm), located in the area of the upper pole, is demonstrated. Mobilization of kidney and dissection of the renal artery and vein are done with the help of a 5 mm Harmonic Scalpel Ethicon instrument, as well as LigaSure (MEDTRONIC COVIDIEN) instrument. De Bekey vascular forceps are temporarily applied onto the renal artery. Kidney resection is performed by a 5 mm Harmonic Scalpel Ethicon instrument within the limits of healthy tissues. Hemostasis in the area of bed is done by a bipolar instrument of Karl Storz Company. An atraumatic interrupted suture is placed on the kidney wound, using “Vicryl” thread. For the sake of additional hemostasis the wound is stitched by hemostatic PerClot (Italy). Then the forceps are removed from the renal artery, and blood circulation is restored in the kidney. The time of ischemia is 32 minutes. The tumour is placed in a special container MEDTRONIC COVIDIEN and is removed through the umbilical access. Operation time is 1 hour 20 minutes.

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

Laparoscopic appendectomy in case of myxoma of the vermiform appendix

Laparoscopic appendectomy in case of myxoma of the vermiform appendix.
Professor Puchkov K.V. is performing an operation (2017).

Operation is performed for myxoma of the vermiform appendix, the size is as follows; 8x4 cm. In the film the technique of dissection of mesentery of the vermiform appendix by a 5 mm LigaSure MEDTRONIC COVIDIEN instrument and Karl Storz Company instruments is presented. Then the appendix is dissected in the transverse direction by a linear stitching Endo GIA MEDTRONIC COVIDIEN apparatus, the length of the cassette is 45 mm. The preparation is placed into a special plastic container MEDTRONIC COVIDIEN, then it is removed through the umbilical access. Operation duration is 10 minutes.

Laparoscopic radical right nephrectomy with aortocaval lymphadenectomy

Laparoscopic radical right nephrectomy with aortocaval lymphadenectomy.
Professor Puchkov K.V. is performing an operation (2017).

In this film the technique of laparoscopic right nephrectomy for malignant tumour (7 cm) is presented. Before operation MSCT with water-soluble contrast agent has been done. And in the aortocaval space the increased lymphatic nodes up to 4 cm have been found out. Access to hilum of kidney is done by means of bringing down the hepatic angle of the large colon and tissue dissection between Toldt’s fascia and fascia Gerotae by means of a 5 mm LigaSure (MEDTRONIC COVIDIEN) instrument and Karl Storz Company instruments. Then mobilization of duodenum according to Kocher is performed, with exposure of the inferior vena cava and gonad vein. At the next stage aoptocaval lymphadenectomy is performed, using a 5 mm Harmonic Scalpel Ethicon instrument. Ureter is transected at the level of the common iliac artery. Then the renal artery is exposed and clipped. The renal vein is stitched and transected by a 45 mm Endo GIA MEDTRONIC COVIDIEN apparatus with vascular casette. The preparation and removed lymphatic nodes are placed into a special plastic container MEDTRONIC COVIDIEN, that is removed through the umbilical access. Operation time is 1 hour 20 minutes.

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

Laparoscopic right resection of kidney with wound stitching

Laparoscopic right resection of kidney with wound stitching.
Professor Puchkov K.V. is performing an operation (2017).

In this film the technique of the right laparoscopic resection of kidney for malignant tumour (2 cm), that is located on the anterior surface, is demonstrated. In the abdominal cavity there is an extensive adhesion process, developed after open cholecystectomy. Mobilization of kidney and dissection of the renal artery and vein are done with the help of a 5 mm LigaSure (MEDTRONOC COVIDIEN) instrument. De Bekey forceps are temporarily applied onto the renal artery. Kidney resection is performed by a 5 mm monopolar instrument within the limits of healthy tissues. An atraumatic interrupted suture is placed on the kidney wound, using “Polysorb” thread. For the sake of additional hemostasis the wound is covered by hemostatic PerClot (Italy). Then the forceps are removed from the renal artery, and blood circulation is restored in the kidney. The ischemia time is 25 minutes. The tumour is placed into a special container MEDTRONIC COVIDIEN and is removed through the umbilical access. Operation duration is 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.

Laparoscopic adnexectomy with the single access (S.I.L.S.), using LigaSure MEDTRONIC instrument

Laparoscopic adnexectomy with the single access (S.I.L.S.), using LigaSure MEDTRONIC instrument.
Professor Puchkov K.V. is performing an operation (2017).

In this video the technique of laparoscopic adnexectomy, using the single port (SILS port COVIDIEN), is presented. A 52 year-old patient is being operated on for serous cystadenoma. The sizes of the cyst are as follows: 9x7 cm. There is an indication to perform on an operation, using the single port. Visualization of the surgical site is done with the help of a 5 mm elongated laparoscope, produced by KARL STORZ Company. For fast and successful operation performing Clermont Ferrand (KARL STORZ Company) uterine manipulator is used. For this operation one twisting instrument is required-it is 5 mm soft forceps. The preparation is placed into a special plastic container (produced by KARL STORZ Company) that is removed alongside with the port through the umbilical area. The duration of the laparoscopic stage of operation is 3 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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