Extraperitoneal transection According to Pirogov

Transsection is a surgical procedure performed to access the internal organs of the abdominal cavity, also called the peritoneal cavity. Transsections can be performed through a conventional abdominal incision or through a laparoscopic method, where special tubes are inserted into the abdominal cavity to allow small incisions to be made and organs to be accessed through small holes inside the abdominal wall. In this article we will look at one of the methods of transection - Pirogov's transection, which is one of the most common methods of access to the abdominal cavity.

Transsection with the extraperitoneal Pirogov method

Transsection, which is a modification of laparotomy, involves making two or three lateral incisions on the abdominal wall, most often in the lower abdomen. These incisions continue to the ribs and subcostal areas. The entire process of performing abdominal dissections is strictly controlled and directed by an ophthalmologist. The cuts are made with a sharp instrument. Most surgeries use lateral incisions, although sometimes a large straight incision may be required. The lateral incision is made with a greater degree of understanding of the situation and the experience of the surgeon (to avoid internal organs and bleeding). A smaller wound volume allows for better visibility of the surgical area and less damage to nearby organs. In addition, the lateral incision allows for more precise resection of the peripheral margin and minimizes the likelihood of bowel injury.

Advantages of abdominal dissection according to Pirogov

The advantages of transsection according to Pirogov include a simple technique of execution, high accuracy, quick rehabilitation, low level of pain after surgery, sufficient visibility of the operating area, the ability to access a large number of abdominal organs and a small number of complications associated with this operation. An important aspect is to preserve the muscles and skin in their place, which speeds up wound healing and prevents the formation of cosmetic defects. The only drawback of Pirogov's transsection is the need for incisions in the subcostal area, which can cause patient discomfort and increase the risk of wound infection. However, these disadvantages are relatively insignificant compared to the advantages of this operation.

The operation is successfully performed in cases where it is necessary to perform an intervention on the stomach, spleen, liver or gall bladder. During the operation, the surgeon usually removes the affected organ, preserving its structure and its anatomical course, taking the necessary measures aimed at maintaining the patient’s vital functions. Restoration is carried out using special sutures that ensure reliable connection and rapid growth of muscle tissue