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Simultaneous laparoscopic cholecystectomy and supracervical hysterectomy, using the single laparoscopic access

Simultaneous laparoscopic cholecystectomy and supracervical hysterectomy, using the single laparoscopic access.
Professor Puchkov K.V. is performing an operation (2013).

In this video the technique of laparoscopic cholecystectomy, using the single port (COVIDIEN SILS port) in case of calculous cholecystitis, is presented. The sizes of the gall bladder are the following: 14x7 cm. The technique of trancscutanous fixing stitching, exposure of the vesicular duct and arteries, using COVIDIEN mini retract instrument and clipping of these structures by a 10 mm automatic applicator have been demonstrated. Hysterectomy is performed by means of a 10 mm Liga Sure MEDTRONIC COVIDIEN instrument. Dissection of the uterine body from its cervix is performed by Karl Storz monopolar loop. Abdomen peritonization and stitching of the sacrouterine ligaments are done with the help of Endo Stitch COVIDIEN instrument.

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

Laparoscopic supracervical hysterectomy, using the single access (S.I.L.S. Port COVIDIEN)

Laparoscopic supracervical hysterectomy, using the single access (S.I.L.S. Port COVIDIEN).
The operation is performed by Puchkov K.V. (2010).

In this video the technique of laparoscopic supracervical hysterectomy, using the single port (SILS port COVIDIEN), in case of the multiple myomas of uterus and adenomyosis, is demonstrated. The port is located in the umbilical area (the area for the further morcellation and evacuation of the uterus). The technique of ligation and transsection of the round uterine ligaments, ovarian ligaments and the uterine artery by means of a 5 mm instrument (LigaSure MEDTRONIC COVIDIEN) and a monopolar electrode (Karl Storz Company) are presented. To make the work in the area of the small pelvis easier, a uterine manipulator is inserted into the uterine cavity. Excision of body of uterus from the cervix is done by means of a monopolar loop (Karl Storz Company). Abdomen peritonizatuion and stitching of the sacrouterine ligaments are done with the help of Endo Stitch (MEDTRONIC COVIDIEN) instrument. The body of uterus is grasped by the bullet forceps and is removed from the umbilical access by means of mechanical morcellation. Duration of the operation is 35 minutes.

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

Laparoscopic panhysterectomy, using the single access (S.I.L.S. Port COVIDIEN)

Laparoscopic panhysterectomy, using the single access (S.I.L.S. Port COVIDIEN).
Professor Puchkov K.V. is performing an operation (2010).

In this video the technique of laparoscopic panhysterectomy, using the single port (SILS port COVIDIEN), in case of multiple myomas of uterus and adenomyosis, is presented. The port is placed in the umbilical area (the area for further morcellation and evacuation of uterus). The technique of ligation and transsection of the round ligaments of uterus, ovarian ligaments and the uterine artery by means of a 10 mm instrument (Liga Sure COVIDIEN) and a monopolar electrode (produced by Karl Storz Company) is presented here. To make the work in the area of small pelvis easier, a uterine manipulator is inserted into the uterine cavity. Excision of the body of uterus from the cervix is done by a monopolar loop (Karl Storz Company). The body of uterus is grasped by the bullet forceps and is removed via vagina. Vagina stitching, stitching of the sacrouterine ligaments and peritonization of the pelvic abdomen are done with the help of Endo Stitch (MEDTRONIC COVIDIEN) instrument, using “Polysorb” 2-0 thread. At the end of the operation the way the apparatus looks like and the stitched umbilical wound are shown. The duration of the operation is 55 minutes.

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

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