Mediastinotomy Transdiaphragmatic

Transdiaphragmatic mediastinotomy

Transdiaphragmatic mediastinotomy (m. transdiaphragmatica) is a surgical operation in which an incision is made through the diaphragm to access the mediastinum.

This approach is used to remove tumors, cysts or other pathological formations in the mediastinum. Usually an incision is made in the 7th-8th intercostal space on the left, after which the diaphragm is dissected and the mediastinum is exposed. This access allows you to clearly visualize the structures of the mediastinum and perform the necessary manipulations.

After completion of the operation, the diaphragm is sutured, and drainage is installed in the pleural cavity. The technique requires careful postoperative monitoring of respiratory status. Complications are rare if the operation is performed correctly.

Transdiaphragmatic mediastinotomy is an effective and safe surgical access to the mediastinum when it is necessary to perform complex surgical interventions in this anatomical area.



Mediastinotomy is a surgical procedure performed to remove tumors or cysts in the mediastinum. During this operation, the surgeon makes an incision in the diaphragm and removes the pathological formation.

One of the methods of mediastinotomy is the transdiaphragmatic method. This method differs from other methods in that the incision is made not on the front surface of the chest, but on the back. This avoids damage to internal organs and reduces the risk of complications.

When performing a transdiaphragmatic mediastinotomy, the surgeon uses a special instrument – ​​a mediastinome. It is a long tube with cutting blades at the end. Cutting blades allow you to cut the tissue of the diaphragm without damaging the internal organs.

After the operation, the surgeon removes the pathological formation and sutures the incision. After this, the patient undergoes a rehabilitation period, which can last from several days to several weeks.