Mikulicz-Nikoladoni Resection of the Rectum

Mikulicz-Nikoladoni Resection of the Rectum: History and Application

Mikulic-Nikoladoni rectal resection is one of the techniques that is used in rectal surgery to treat various diseases such as rectal cancer or diverticulosis. This procedure was developed by German surgeons Josef Mikulicz and Stefan Nikoladoni at the end of the 19th century.

Story

Mikulic and Nikoladoni were famous surgeons of their time and worked together in Vienna. In 1882, they first described the technique of rectal resection, which received their names. This technique was based on two main principles: removing diseased tissue and creating an anastomosis to restore normal bowel function.

Application

Mikulic-Nikoladoni resection is used to treat various diseases of the rectum, such as cancer, diverticulosis and inflammatory diseases. The procedure involves removing the diseased part of the rectum and creating an anastomosis to restore normal bowel function.

Currently, there are several modifications of the Mikulic-Nikoladoni resection technique, which are designed to improve surgical results and reduce possible complications. One such improvement is the technique of “minimally invasive rectal resection,” which uses laparoscopic instruments to perform the operation through small incisions in the abdomen.

Conclusion

Mikulic-Nikoladoni rectal resection is an effective technique for the treatment of various diseases of the rectum. This procedure was developed more than a century ago, but still remains relevant and is used in many countries. Modern improvements in this technique can reduce the risk of complications and improve surgical results.

Introduction

Mikulich-Nikoladoni rectal resections are one of the most complex and risky operations in surgery. They are performed to remove rectal cancer and metastatic lymph nodes at the pelvic level. This operation involves cutting the rectum by resection of its base and redirecting the stitched end to the upper abdomen or rectal stump, depending on the specific case. This method has a high risk of complications and complications, especially in the early stages of the postoperative period. However, if the operation is successful, it can provide positive results in treating cancer and significantly improving the patient's quality of life.

General description of the method The Mikulicz-Nikoladoni method is used for complete dysplasia of the mucous membrane and extensive exophytic rectal cancer. It is a variant of transanal resection performed endoscopically. The surgical technique does not require cutting off the rectum from the abdominal cavity and is performed entirely through endovideological access. Resection begins with the placement of a retractor on the skin of the thigh or abdominal wall, which allows the surgeon to work with the rectum from a transanal approach. Transanal access from above is less commonly used. In this case, the patient is under spinal anesthesia, because Spinal anesthesia is not possible in the Trendelenburg position. The patient lies on his side with his legs adducted to his stomach and his legs elevated by pillows. The head and neck are located on a special head back. Drains are placed through incisions along the esophagus