Mikulic Resection of the Large Intestine

Mikulic resection

Mikulich's operation (Mikulich's operation) is a surgical operation that is used to treat colon tumors. It is performed when there is a need to remove a cancer that is too close to sensitive or important structures in the body to be safely removed by other methods. Mikulic resections are used when other surgical methods may damage nearby organs or structures that are critical to the body's functioning and can lead to serious complications, including infection, bleeding, and organ failure. For example, mikulic surgery is used in cases where colon cancer is located near blood vessels, nerve structures or other important organs, as well as in cases of cancer that has spread to neighboring organs.

Mikulicz operation Resection

Mikulic resection is a surgical method of treating diseases of the colon, based on the complete removal of pathological areas, including polyps. This name was proposed by a surgeon of Polish origin, Micheli, who proposed this method in the 20s of the last century (1915). The method was named after him due to his affiliation with this country.

Polyps are found quite often in the human body: every 5–6 people face the need to remove benign tumors.

The growth of polyps occurs due to damage to the mucous membranes - inflammatory processes, excessive levels of hormones, infectious diseases. Once in the blood, polyps begin to grow uncontrollably. In medicine, such neoplasms are called colopathies. 4 stages of development of colopathy (3 types: pigmented, villous and adenomatous), namely, this is stage 1-4 precancer. A polyp can be detected in 80% of people upon reaching 40 years of age. It occurs due to a general intestinal disease - an inflammatory process. In different people, a polyp can appear at different ages, since there are many reasons for its appearance.

Stages of polyp development: * progesterone - the main female hormone; polyg - hormones of the female reproductive system; * estrogens - female hormones; endometrium - the inner mucous membrane of the uterus; * polygl - estrogenic stimulation of the liver; glandules are glands that produce progesterones and estrogens. Consists of 3 main parts: epithelium, subepithelial zone, connective tissue. It is believed that depending on which tissue predominates, it can be serous or fibrinous. It can also be flat or lumpy, red or pale pink, but more often flesh-colored. Dimensions reach several centimeters. The edges are poorly demarcated from healthy tissue.

Complications of the appearance of colon polyps: rectal dysfunction; intestinal obstruction; dangerous ruptures. And if treatment is not started in time, the neoplasm will degenerate into a malignant tumor of the colon. Today there are no methods with a minimal probability of negative outcomes.

The most effective methods of dealing with polyps are the following: 1. Laparoscopic radical proctocolectomy - removal of the affected segment of the colon by minimizing damage to surrounding healthy cells. This operation is considered the least traumatic. Minimizing damage promotes rapid patient recovery; 2. Obvertoric resection - partial resection of the right half of the colon. Involves removing only the affected area. After the intervention, the rest of the colon continues to function; 3. Restorative intestinal procedures - after removal of the polyp, the intestinal area is simply isolated from healthy tissue; 4. Histological examination of a smear taken during colonoscopy allows us to determine the extent of the disease. If degenerative cells are found in places, then the option of removing the affected areas together with the ganglion nerve is considered

**Mikulich Resection**

Mikulicz colon resection (j-f-mikulicz - radecki), which is a medical surgery procedure that is a modification of the traditional approach to removing a part (segment) of the colon. It was developed by the Hungarian surgeon János Mikalić Radetzky and named after him.