McBurney-Volkovich-Dyakonov Section

McBurney-Volkovich-Dyakonov section: history of creation and application

The McBurney-Volkovich-Dyakonov incision, also known as the right iliac incision, is one of the most common surgical incisions in the world. It was developed by three outstanding surgeons: Charles McBurney, Nikolai Volkovich and Pavel Dyakonov at the end of the 19th century.

Charles McBurney (1845-1914) was an American surgeon who in 1889 described a new method of accessing the appendix through the right iliac abdomen. Nikolai Volkovich (1858-1928) was a Soviet surgeon who modified this incision in 1894 to improve access to the major abdominal organs. Pavel Dyakonov (1855-1908) was a domestic surgeon who contributed to the development of this method.

The McBurney-Volkovich-Dyakonov incision is an incision made in the skin, subcutaneous tissue, and muscle on the right side of the abdomen, passing through the right iliac abdomen. This incision provides good access to the appendix as well as other organs such as the terminal ileum, right ovary and testis, right ureter and inferior vena cava.

The McBurney-Volkovich-Dyakonov incision has several advantages over other methods of access to the abdominal cavity, such as the McBurney or Langen incision. First, it provides good access to the appendix, making it an ideal method for removing an inflamed appendix due to appendicitis. Second, this incision is more cosmetically acceptable because it is located in a more hidden area of ​​the abdomen, reducing the risk of leaving a scar.

Currently, the McBurney-Volkovich-Dyakonov incision is widely used throughout the world to access various abdominal organs. This is one of the safest and most effective methods of surgical access, which can provide good results and minimal risk of complications.

McBurney-Volkovitsa-Dyakonov incision (Ch. McBurney, 1845–1914; Alexandre Vyazovsky, 1st surgeon of the Russian Empire and his successor Nikolai Volkovich; Pavel Dyakonov, Russian surgeon). Topographic anat., named after him and used as an addition to anterior and posterior crurotomy in the treatment of the consequences of a fracture of the tibia (tibia fracture, fracture of the talus with damage to the calcaneal tubercle). The algorithm of actions, which includes dissection of the fascia above the tibial nerve behind the calcaneal tuber and opening of the tibial canal, eliminates trauma to the articular end, the inferior artery and the deep branch of the peroneal nerve, which reduces the risk of developing “posterolateral joint syndrome” and lagophlegmon after surgery. Depending on the situation, a one- or two-stage restoration of the ankle joint is performed, restoring the sensitivity of the toes along the sural nerve and the peroneal nerve.