Ectopic pregnancy
Laparoscopic tubectomy in case of ectopic pregnancy
Автор: Puchkov K.V.
Laparoscopic tubectomy in case of ectopic pregnancy. Professor Puchkov K.V. is performing an operation (2017).
The operation is performed in case of progressive ectopic pregnancy, the term of pregnancy is 5 weeks. The patient is 39. In her anamnesis it is mentioned that she has been operated on for tubectomy on the left and for three cesarean sections.150 ml of blood have been found out during the operation. In the right fallopian tube fetus, having the sizes 4x2 cm, has been determined. For fast and successful operation performing Clermont Ferrand (KARL STORZ) uterine manipulator and a 5 mm Harmonic Scalpel Ethicon instrument are used. With the help of them tubectomy on the right is done. The dissected fallopian tube is removed from the abdominal cavity in a special plastic container. Then a careful lavage of operation zone by means of the saline solution is done. After that anticommisural gel is introduced. Operation duration is 15 minutes.
Laparoscopic sanation of the abdominal cavity in case of ectopic pregnancy as the kind of tubular abortion
Автор: Puchkov K.V.
Laparoscopic sanation of the abdominal cavity in case of ectopic pregnancy as the kind of tubular abortion. Professor Puchkov K.V. is performing an operation (2016)
Operation is performed for an unterrupted ectopic pregnancy as the kind of the tubular abortion-the term of pregnancy is 6 weeks. The patient is 31. In her anamnesis it is mentioned that she has had two operations for torsion of the cyst of the left ovary and retrocervical endometriosis. Intraoperation findings are as follows: 300 mL of thin blood and fetal ovum in the retrouterine space. The right tube is intact. During the first stage aspiration of blood and placing of fetal ovum into a plastic container for histological investigation is done. Then a careful lavage of the surgical site by a saline solution is done, then-introduction of anticommisural gel. Simultaneously dissection of invasive endometriosis of the pelvic abdomen is performed. Operation duration is 30 minutes