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Laparoscopic correction of inguinal hernia
Laparoscopic correction of direct inguinal hernia in a female
Автор: Puchkov K.V.
Laparoscopic correction of direct inguinal hernia in a female.Professor Puchkov K.V. is performing an operation (2017).
In this film the technique of laparoscopic correction of direct right inguinal hernia in a female is presented. Mobilization of hernial sac, lipoma and dissection of the round ligament is done with the help of a 5 mm Harmonic Scalpel Ethicon instrument. The exposure of the inguinal ligament, of connected tendineous aponeurosis, internal inferior epigastral artery, pubic tubercle and round uterine ligament is demonstrated. Plasty of hernial ports is done by means of Bard 3d Max LIGHT Mesh, that is the facilitated analogue of 3DMaxmesh, it has 50% lesser weight, provides bigger scope of vision of the surgical site without losing firmness of the implant. The unique 3D design of this prosthesis has been elaborated specially for laparoscopic hernioplasty. The material of mesh implant is non-covered polypropylene. The shape and contours of the implant completely correspond to this anatomic area, that provides maximum close-fitting and minimizes the probability of shifting of the prosthesis. Fixation of the prosthesis is done by a herniostapler ProTack MEDTRONIC COVIDIEN. Peritonization of abdomen is done by ‘Monocril” thread. Operation duration is 24 minutes.
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 bilateral inguinal hernia
Автор: Puchkov K.V.
Laparoscopic correction of bilateral inguinal hernia
Professor Puchkov K.V. is performing an operation (2016).
In this film the technique of laparoscopic correction of bilateral inguinal hernia is demonstrated. Mobilization of hernial sac and dissection of spermatic cord is done with the help of a 5 mm Harmonic Scalpel Ethicon instrument. The exposure of the inguinal ligament, of connected tendineous aponeurosis, internal inferior epigastral artery, pubic tubercle from the both sides is demonstrated. The plasty of hernial ports is done with the help of 3D implant Max TM Mesh (Bard Davol Inc., U.S.A.). Unique 3D design of this prosthesis is elaborated specially for laparoscopic hernioplasty, manufactured separately for the left side and for the right side. The material for the mesh implant is non-covered polypropylene. The shape and contours of the implant totally correspond to the anatomic area, it provides maximum fitting and minimizes the probability of prosthesis shifting. Fixation of the prosthesis is done by a herniostapler ProTack MEDTRONIC COVIDIEN. Peritonization of the abdomen is done by “Monocril” thread. Operation duration is 44 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
