Video of operations
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Evdoshenko V.V
SADI operation after previously performed sleeve gastrectomy
Автор: Evdoshenko V.V. and Fedenko V.V.
SADI operation after previously performed sleeve gastrectomy. D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation (2017).
In this video the technique of bariatric SADI operation is demonstrated. Pay attention to the minimally used duodenal dissection with preserving blood supply of duodenum. One more peculiarity of this operation is the use of EndoStitch apparatus that in fact improves the ergonomics of the operation.
Proximal transfer of duodenoileal anastomosis after SADI operation
Автор: Evdoshenko V.V. and Fedenko V.V.
Proximal transfer of duodenoileal anastomosis after SADI operation. D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation (2017).
One of the problems after bariatric SADI operation is deficiency of protein. In case of absence of the effect after the conservative treatment there is an indication to transfer anastomosis into more proximal position. Elongation of large colon loop will give a possibility to improve the absorbtion of protein.
A simple way of closing of troacar wounds that does not require special instruments
Автор: Evdoshenko V.V. and Fedenko V.V.
A simple way of closing of troacar wounds that does not require special instruments. D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation (2017).
The question about closure of troacar wounds in case of laparoscopic operations is very important, especially if the port has been expanded for getting out removed organs. In this video it is demonstrated the way troacar wound is stitched inside the abdominal cavity, using a usual surgical needle and a standard laparoscopic needle-holder that each operation theatre has got.
Hemorrhage into the lumen of interintestinal anastomosis after gastric shunting according to Roux
Автор: Evdoshenko V.V. and Fedenko V.V.
Hemorrhage into the lumen of interintestinal anastomosis after gastric shunting according to Roux. D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation (2017).
Hemorrhage from the interintestinal anastomosis as complication after bariatric operation for gastric shunting according to Roux is rarely met. In case of continuing hemorrhage a repeated laparoscopy is performed, then revision of anastomosis is done and the source of hemorrhage is liquidated. It should be done in this way, as the use of flexible endoscopy for hemostasis is difficult to use, while using a standard equipment. In this case they have removed suture from anastomosis. Blood clot is visualized that is fixed to the source of hemorrhage. Hemostasis is fulfilled, using EndoStitch apparatus.
Gastroplication operation is converted into sleeve gastrectomy.
Автор: Evdoshenko V.V. and Fedenko V.V.
Gastroplication operation is converted into sleeve gastrectomy. D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation. (2017)
The aim of bariatric gastroplication operation is to reduce the volume of stomach by means of “screwing in” the greater curvature of stomach into the big sulcus inside the stomach and to fix that sulcus, starting from Giz angle until the pyloric part of stomach. This operation is not a standard bariatric one and has a big percentage of unfavourable outcomes - rupture of stitching or the sulcus is straightened of its own. Naturally, this situation promotes weight gaining. The same thing has happened to this patient whose repeated operation we are demonstrating now. We separated all the adhesions that had been formed after the previous operation. Then we have performed a standard sleeve gastrectomy.
Sleeve gastrectomy, hiatal hernia, reconstruction of esophageal-diaphragmatic membrane
Автор: Evdoshenko V.V. and Fedenko V.V.
Sleeve gastrectomy, hiatal hernia, reconstruction of esophageal-diaphragmatic membrane. D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation.
While performing an operation for sleeve gasterectomy, it has been found out that a patient has hiatal hernia. It is known that sleeve gasterectomy can promote development of hiatal hernia in 30-50 % of cases. So, an operation for hiatal hernia is compulsory when you are performing an operation for sleeve gasterectomy. Thus, cruroraphy has been performed, as well as reconstruction of esophageal-diaphragmatic membrane as a kind of circular esophagophrenopexy.
Internal hernia after gastric shunting –Roux-en -Y gastric bypass
Автор: Евдошенко В. В. и Феденко В. В.
Internal hernia after gastric shunting –Roux-en -Y gastric bypass. D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation.
One of the complications after gastric shunting – Roux-en-Y gastric bypass- is a formation of the internal hernia near the window of mesocolon. This window is created for pulling the loop of “Roux colon” into the superior part of the abdomen. Closure of that window at the end of operation is compulsory. Nevertheless, the closure sometimes is not efficient, and the situation is complicated by development of the internal hernia. Clinically it is manifested by intermitting intestinal obstruction, that within some period of time will be progressing, and the total obstruction will take place later on. This operation demonstrates the situation when the small colon is almost completely shifted into the cavity of omentum bursa through mesocolon window. So, the small colon has been shifted into proper position, open defect is stitched by continuous suture.
