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Sleeve gastrectomy for morbid obesity

Sleeve gastrectomy for morbid obesity.
Professor A.Forgione is performing an operation (2017).

In this video the technique of bariatric operation-standard sleeve gastrectomy-is demonstrated. The first stage presents the positioning of troacars. For dissection of gastroesophageal isthmus a 10 mm Liga Sure MEDTRONIC COVIDIEN instrument is used. Sleeve gastrectomy is performed by means of stitching and transection of stomach by a 60 mm Endo GIA MEDTRONIC COVIDIEN apparatus with blue casettes. Preparation is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed at the end of operation through the expanded access.

Laparoscopic left hemihepatectomy

Laparoscopic left hemihepatectomy.
Professor A.Forgione (Italy) is performing an operation (2017).

Operation is performed for metastasia into the left lobe of the liver. In this video the technique of laparoscopic left hemihepatectomy with the help of a 5 mm Harmonic Scalpel Ethicon instrument, bipolar, clipping of the vascular structures and bile ducts, stitching and transecting of the vein by Endo GIA MEDTRONIC COVIDIEN apparatus with a 45 mm white cassette, is presented. The preparation is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed at the end of operation through the expanded access.

Laparoscopic subtotal resection of stomach according to Roux

Laparoscopic subtotal resection of stomach according to Roux.
Professor A.Forgione (Italy) is performing an operation (2017).

In this video the technique of laparoscopic subtotal resection of stomach according to Roux for cancer of the antral part is presented. Mobilization of stomach along the greater curvature and lesser curvature is done with the help of a 5 mm Harmonic Scalpel Ethicon instrument. Stitching of colon and stomach is done by a linear endoscopic Ethicon apparatus, using 60 mm white and blue casettes. Gastrointestinal anastomosis and interintestinal anastomosis are formed by a linear endoscopic Ethicon apparatus by a 45 mm blue cassette. The preparation is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed at the end of operation through the expanded access.

Laparoscopic splenectomy

Laparoscopic splenectomy.
Professor A.Forgione (Italy) is performing an operation (2017).

In this video the technique of laparoscopic splenectomy by means of a 5 mm Harmonic Scalpel Ethicon instrument is demonstrated. Operation is performed for idiopathic thrombocytopenic purpura (ITP). At first splenic artery is exposed and temporarily clipped. It is done to prevent the risk of bleeding during handling of vascular pedicle of spleen. Then, using Endo GIA MEDTRONIC COVIDIEN apparatus (with a 60 mm white casette), splenic vessels are stitched and transected. Preparation is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed through the expanded access at the end of operation.

Gastric shunting – Roux-en-Y gastric bypass-for morbid obesity

Gastric shunting – Roux-en-Y gastric bypass-for morbid obesity.
Professor A.Forgione is performing an operation (2016).

In this video the technique of bariatric operation – Roux-en-Y gastric bypass for morbid obesity is demonstrated. At the first stage the positioning of troacars is presented. For tissue dissection a 5 mm Harmonic Scalpel Ethicon instrument is used. Stitching of the colon and stomach is performed by a 60 mm Endo GIA MEDTRONOC COVIDIEN apparatus with white and blue casettes. Gastrointestinal anastomosis is formed by circular stitching apparatus.

Laparoscopic placement of gastric bandage for morbid obesity

Laparoscopic placement of gastric bandage for morbid obesity.
Professor A.Forgione is performing an operation (2016).

In this video the technique of bariatric operation is presented-laparoscopic placement of gastric bandage for morbid obesity. At the first stage the positioning of troacars is presented. For omentum dissection 5 mm monopolar scissors are used. The tunnel under esophagus is performed by ligament preparation by a 5 mm dissector. Gastric bandage is placed on the upper one-third of the stomach and fixed by serous stitching for prophilaxis of shifting in the distal direction.

Laparoscopic right hemicolectomy

Автор: A.Forgione

Теги: A.Forgione Hemicolectomy Colon cancer

Laparoscopic right hemicolectomy
Professor A.Forgione is performing an operation (2016).

In this film the technique of performing laparoscopic right hemicolectomy for tumour of cecum was demonstrated. The first step was - the exposure of the superior mesenteric vein near the return of v. ileocolica, then exposure of a. ileocolica, then their separate transection. Exposure of colon took place within the boundaries of the mesocolic fascia in medilateral direction. After mobilization of the colon, ligation of the right branch of middle colic artery and vein takes place, then exposure of colon along the lateral canal. Colon transection and formation of intracorporeal anastomosis were done with using of a linear stitching device (“Ethicon”) with the blue cassette. Anastomosis area was additionally covered by sero-serous single interrupted suture.

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