TRANSVERSE LAPAROTOMY DURING COLON OPERATIONS
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Abstract
Anatomical and physiological characteristics indicate the advantages of transverse laparotomy in comparison with the median access, but the spatial characteristics of these approaches were practically not subjected to comparative evaluation.
Aim – to determine the parameters of transverse laparotomy during operations on the colon in an anatomical study. To compare the parameters of median and transverse laparotomy during operations on the colon in anatomical study and according to spiral computed tomography. To evaluate the immediate results of the use of transverse laparotomy in operations on the colon.
Materials and methods. In the anatomical study, measurements were carried out on the corpses of the male field, normosthenic physique upper - transverse laparotomy was performed in 25 cases, median – in 14. At the same time, an X-RAY examination with the analysis of 51 SCT studies was carried out. The clinic performed 18 surgical interventions for the pathology of the colon using upper-transverse laparotomy.
Results and conclusion. Upper-transverse laparotomy has acceptable spatial characteristics during operations on the upper floor of the abdominal cavity, both in absolute values of angular characteristics and in relative point terms. The differences in the measurement data of x-ray and anatomical studies are due to the peculiarities of the techniques, as well as pre-accepted unchangeable access conditions (width). Clinical use of upper-transverse access in colon surgery was not accompanied by specific complications, as well as insurmountable technical difficulties associated with access, which can be regarded as an argument for its wider use in practical surgical activities.
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POI clinical practice preliminary data, Paris 13th April 2003 GlaxoSmithKline. 2003
Radivilko K.S. Justification of the upper transverse laparotomy access for operations on the pancreas: author. dis. ... Cand. honey. sciences. Kemerovo 2012. 19 p. (Радивилко К.С. Обоснование верхнего поперечного лапаротомного доступа для операций на поджелудочной железе: автореф. дис. … канд. мед. наук. Кемерово 2012. 19 с.)
Sozon-Yaroshevich A.Yu. Anatomical and clinical rationale for surgical access to internal organs. – L. : Medgiz, 1954. – 180 р. (Созон-Ярошевич А.Ю. Анатомо-клиническое обоснование хирургических доступов к внутренним органам. – Л. : Медгиз, 1954. – 180 с.)
Greenall MJ, Evans M, Pollock AV: Midline or transverse laparotomy? A random controlled clinical trial. Part I: Influence on healing. Br J Surg 1980, 67:188-190
Greenall MJ, Evans M, Pollock AV: Midline or transverse laparotomy? A random controlled clinical trial. Part II: Influence on postoperative pulmonary complications. Br J Surg 1980, 67:191-194
Ellis H, Coleridge-Smith PD, Joyce AD: Abdominal incisions--vertical or transverse? Postgrad Med J 1984, 60:407-410
Stone HH, Hoefling SJ, Strom PR, Dunlop WE, Fabian TC: Abdominal incisions: transverse vs vertical placement and continuous vs interrupted closure. South Med J 1983, 76:1106-1108
Armstrong PJ, Burgess RW: Choice of incision and pain following gallbladder surgery. Br J Surg 1990, 77:746-748
Grantcharov TP, Rosenberg J: Vertical compared with transverse incisions in abdominal surgery. Eur J Surg 2001, 167:260-267
V.A. Virvich. The rationale for the clinical use of upper transverse laparotomy in the experiment./ V.A. Virvich, K.S. Radivilko// Siberian Medical Journal, 2010, Volume 25, No. 4, Issue 1. (В.А. Вирвич. Обоснование клинического применения верхней поперечной лапаротомии в эксперименте. / В.А. Вирвич, К.С. Радивилко// Сибирский медицинский журнал, 2010, Том 25, № 4, Выпуск 1)
V.A. Virvich. Experimental substantiation of the clinical use of upper transverse laparotomy./ V.A. Virvich, K.S. Radivilko// Kazan Medical Journal, 2010, volume 91, No. 2. (В.А. Вирвич. Экспериментальное обоснование клинического применения верхней поперечной лапаротомии. / В.А. Вирвич, К.С. Радивилко. // Казанский медицинский журнал, 2010 г., том 91, № 2)