Myoma of uterine cervix

Laparoscopic myomectomy (cervical node is 10 cm) with the temporary occlusion of the arterial stream

Laparoscopic myomectomy (cervical node is 10 cm) with the temporary occlusion of the arterial stream.
Professor Puchkov K.V. is performing an operation (2016)

In this video the technique of laparoscopic myomectomy with the temporary occlusion of the arterial stream (internal iliac arteries) according to the author’s own method (the patent, dated 2007) is demonstrated. A 30 year-old patient is operated on for uterine cervix myoma-10 cm. At the first stage, immediately after bifurcation of the common iliac artery pelvic abdomen is opened, and De Bekey vascular forceps are temporarily applied onto the internal artery. It gives a possibility to exclude blood loss during the operation. Then, using a monopolar electrode, the muscular tissue is dissected in the longitudinal direction up to the myomatous node, and, using two 10 mm hard forceps, the myoma is enucleated from the surrounding tissues. The wound is stitched by V-lock (MEDTRONIC COVIDIEN) system, made of the monofilament absorbable polydioxanone thread, oriented in space with the set angle. This system gives a possibility to stitch uterine wound fast and layer by layer with the proper hemostasis.

The abdomen near the cervix and sacrouterine ligaments is stitched by placing an atraumatic suture, using “Monocril” 2-0 thread. Then the forceps are removed from the internal iliac artery, and bloodstream is restored in the uterus. Myomatous node is removed from the abdominal cavity with the help of electromechanical Rotocut G1 morcellation (Karl Storz Company). Anticommissural gel is applied on the wound line.

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