Pirogov Extraperitoneal Transection

Pirogov extraperitoneal transection (n.i. pirogues; synonym external transection) is a surgical operation in which an incision in the abdominal wall is made from the outside without opening the peritoneum. This method was proposed by the Russian surgeon N.I. Pirogov in 1849.

The advantages of extraperitoneal transection are that it does not open the abdominal cavity, which means that the risk of developing peritonitis is reduced. In addition, this operation is accompanied by less blood loss. Extraperitoneal transection is used for tumors, diverticulitis, intestinal obstruction and other diseases of the colon.

The surgical technique consists of layer-by-layer dissection of the muscles of the anterior abdominal wall until the peritoneum is isolated and pushed to the side in the wound. Then an incision is made into the intestine itself, its contents are manipulated and the defect is sutured. The peritoneum is not opened, which prevents infection of the abdominal cavity.

Extraperitoneal transection according to Pirogov was an important achievement of surgery in the 19th century and is still used for certain indications.

Pirogov extraperitoneal abdominal section (n.i. pirogues, synonym external abdominal sectioning is a surgical operation that is performed to remove abdominal organs through an incision on the anterior abdominal wall, bypassing the abdominal cavity. This reduces the risk of complications associated with penetration into the abdominal cavity, such as peritonitis (inflammation of the abdominal cavity) and abscess (purulent inflammation).

The method was first proposed by the Russian surgeon N.I. Pirogov in 1847. Since then, it has become one of the most common surgical methods in the world.

To perform Pirogov's extraperitoneal abdominal section, a small incision is made on the anterior wall of the abdominal cavity, which allows access to the internal organs. The surgeon then removes the organ that needs to be removed through this incision.

Advantages of the Pirogov method of extraperitoneal transection:

– Less risk of abdominal infection.
– Reduced risk of damage to internal organs.
– Faster recovery after surgery.
– Less likely to develop postoperative complications.

However, the Pirogov method also has some disadvantages, such as the higher cost of the operation and the longer time required to recover after the operation. In addition, this method may not always be applicable in some cases, for example, during operations on the liver or spleen.

Overall, Pirogov extraperitoneal transection is an effective method of surgical treatment for many abdominal diseases and can be used as an alternative to other methods such as laparoscopic surgery or laparotomy.