Video of operations
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Laparoscopic appendectomy
Laparoscopic appendectomy for complicated appendicitis (phlegmon)
Автор: Puchkov K.V.
Laparoscopic appendectomy for complicated appendicitis (phlegmon). Professor Puchkov K.V. is performing an operation (2018).
The operation is performed in acute complicated appendicitis with phlegmon. In film the dissection technique of the mesentery of the appendix with 5 mm LigaSure MEDTRONIC COVIDIEN instruments and Karl Storz instruments is shown. Then its base is stitched and intersected with a linear white stapler (MEDTRONIC COVIDIEN) (since there is no infiltration of the base of the appendix and the dome of the cecum). A specimen was removed from the abdominal cavity through a 12 mm trocar in a plastic container. Then the abdominal cavity is washed with warm saline solution. The duration of the operation is 12 minutes.
Laparoscopic appendectomy for gangrenous appendicitis
Автор: Puchkov K.V.
Laparoscopic appendectomy for gangrenous appendicitis. Professor Puchkov K.V. is performing an operation (2018).
The operation is performed for acute gangrenous appendicitis and local peritonitis. In the film the technique of dissection of the mesentery of vermiform appendix by a 5 mm LigaSure MEDTRONIC COVIDIEN instrument and by instruments of Karl Storz Company is presented. Then its base is stitched and transected by a linear stitching MEDTRONIC COVIDIEN apparatus with the blue cassette. The preparation is removed from the abdominal cavity via a 12 mm troacar in a plastic container. Then the abdominal cavity is carefully washed off by a warm saline solution (2 liters) and is drained by a thermolabial system (Ethicon) for 1-2 days. Operation duration is 18 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich.To go to the link.
Laparoscopic appendectomy for myxoma
Автор: Puchkov K.V.
Laparoscopic appendectomy for myxoma. Professor Puchkov K.V. is performing an operation (2018).
The operation is carried out with myxome of the appendix 18x7cm. The film shows the technique of dissection of the mesentery of the appendix with 5 mm LigaSure MEDTRONIC COVIDIEN instrument and the instruments of the Karl Storz Company. Appendix is cut in the transverse direction with the EndoGIA 45mm (MEDTRONIC COVIDIEN) linear stapler. The specimen was placed in special plastic container MEDTRONIC COVIDIEN, which was removed through umbilical access. The duration of the operation was 20 minutes.
Laparoscopic appendectomy in case of endometriosis of the vermiform appendix.
Автор: Puchkov K.V.
Laparoscopic appendectomy in case of endometriosis of the vermiform appendix..
The operation is performed by Professor Puchkov K.V. (2017).
The patient is operated on for endometriosis of appendix. Resection of rectum is performed for retrocervical endometriosis. In this video the technique of dissection of mesentery of vermiform appendix by means of a 5 mm Liga Sure MEDTRONIC COVIDIEN instrument and by instruments, produced by Karl Storz Company, is presented. Then suturing of its base is done, and it is stitched by a linear stitching MEDTRONIC COVIDIEN apparatus. The apparatus is removed from the abdominal cavity, using a 12 mm troacar. The duration of this stage of appendectomy is 6 minutes.
Laparoscopic appendectomy in case of myxoma of the vermiform appendix
Автор: Puchkov K.V.
Laparoscopic appendectomy in case of myxoma of the vermiform appendix.
Professor Puchkov K.V. is performing an operation (2017).
Operation is performed for myxoma of the vermiform appendix, the size is as follows; 8x4 cm. In the film the technique of dissection of mesentery of the vermiform appendix by a 5 mm LigaSure MEDTRONIC COVIDIEN instrument and Karl Storz Company instruments is presented. Then the appendix is dissected in the transverse direction by a linear stitching Endo GIA MEDTRONIC COVIDIEN apparatus, the length of the cassette is 45 mm. The preparation is placed into a special plastic container MEDTRONIC COVIDIEN, then it is removed through the umbilical access. Operation duration is 10 minutes.
Laparoscopic resection of cecum and appendectomy for infiltrative endometriosis
Автор: Puchkov K.V.
Laparoscopic resection of cecum and appendectomy for infiltrative endometriosis. Professor Puchkov K.V. is performing an operation (2016).
The operation was performed for infiltrative endometriosis of cecum and base of appendix. The right fallopian tube and ovary were involved in the infiltrate. In the video the technique of adhesiolysis between appendages of uterus and cecum with 5 mm monopolar electrode, was demonstrated. Dissection of the mesentery of vermiform process was performed with a 5 mm LigaSure (“MEDTRONIC COVIDIEN”) instrument and instruments of Karl Storz Company. After mobilization it should be determined whether the whole of the cecum was involved into the process or it was without involving of ileocecal valve. Then the intestinal wall, lower than infiltrate level, was stitched and transected by a linear stitching device (“MEDTRONIC COVIDIEN”). Revision of the wound suture was done-there was no deformity and narrowing of ileocecal isthmus. Specimen was removed through the abdominal cavity via a 12 mm troacar. Duration of this stage was 16 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic appendectomy in case of acute appendicitis
Автор: Puchkov K.V.
Laparoscopic appendectomy in case of acute appendicitis. Professor Puchkov K.V. is performing an operation (2016).
Operation is performed for acute phlegmonous appendicitis. In the film the technique of dissection of mesentery of vermiform appendix by a 5 mm LigaSure MEDTRONIC COVIDIEN instrument and instruments of Karl Storz Company is presented. Then the base is stitched and transected by a linear stitching MEDTRONIC COVIDIEN apparatus with the blue cassette. The preparation is removed from the abdominal cavity through a 12 mm troacar. Operation duration is 8 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
