Umbilical hernia
Laparoscopic correction of diastasis recti and umbilical hernia, cholecystectomy
Автор: Puchkov K. V.
Laparoscopic correction of diastasis recti and umbilical hernia, cholecystectomy
Surgeon: professor K.V. Puchkov (2018).
Overweight patient. Gallbladder size 22 cm x 6 cm. Massive adhesions. The calculus size about 5.5 cm. Diastasis 18x5 cm, the size of the hernia gate is 4 cm. During the first stage, cholecystectomy is performed. Further, in the video it shows the technique of correction of diastasis recti and umbilical hernia by suturing them with the V-lock non-absorbable 2-0 thread (MEDTRONIC COVIDIEN) on an atraumatic needle. This stage is performed through trocars inserted for cholecystectomy. The final stage is the closure of the suture line with a ParietexComposite mesh (20x16 cm) and its fixation with transperitoneal sutures and a ProTack (MEDTRONIC COVIDIEN) hernia stapler. The duration of the whole simultaneous operation is 1 hour 30 minutes, the stage of correction of diastasis is 40 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Simultaneous laparoscopic correction of the umbilical hernia and ovarian cyst
Автор: Puchkov K.V.
Simultaneous laparoscopic correction of the umbilical hernia and ovarian cyst. Professor Puchkov K.V. is performing an operation (2012)
A 50 year-old patient is operated on for the irreducible umbilical hernia-7 cm, paroophoritic cyst of the left ovary-5 cm. In this video the laparoscopic technique of adhesion dissection and removal of hernia contents by means of a 5 mm Liga Sure MEDTRONIC COVIDIEN instrument is demonstrated, as well as removal of the paroophotitic cyst, kept in a special plastic container. Closure of the hernial ports is done with the help of Parietex Composite mesh (14x14cm) and fixation of it by means of transperitoneal stitching and ProRack MEDTRONIC COVIDIEN herniostappler. At the end of the operation anticommisural gel is introduced into the abdominal cavity.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic correction of umbilical hernia in a patient with the excessive weight.
Автор: Puchkov K.V
Laparoscopic correction of umbilical hernia in a patient with the excessive weight. Professor Puchkov K.V. is performing an operation (2012).
In this film laparoscopic technique of closure of hernial port by mesh PhysioMeshEthicon and its fixation by means of herniostaplers with resorbable and non-resorbable tackers AbsorboTack and ProTack MEDTRONIC COVIDIEN is demonstrated.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.