Spasokukotsky-Kochergin method

Spasokukotsky-Kochergin method (SKUK-method) is a surgical method for the treatment of acute appendicitis. Proposed in 1925 by Soviet surgeons S.I. Spasokukotsky and I.G. Kochergin.

The method is as follows:

1. The operation begins with an incision along the midline of the abdomen from the xiphoid process to the navel.
2. After this, the incision continues laterally to the costal arches, and then continues upward to the level of the navel. Thus, the cut forms a “rectangle” about 20 cm long and about 10 cm wide.
3. A small incision is made in the middle of the “rectangle”, which allows entry into the abdominal cavity.
4. The surgeon then finds the appendix and removes it.
5. After removing the appendix, the surgeon closes the abdominal incision using special stitches.
6. After the operation, the patient remains in the hospital for several days to ensure that everything was successful.

This method was very popular in the USSR in the 20-30s of the 20th century, but nowadays it is used very rarely due to its traumatic nature and high incidence of complications. Instead, in most cases, gentler methods such as laparoscopic appendectomy are used.

The question of the appropriateness of surgical treatment of gastritis is one of the pressing problems of surgery. Its importance lies in the fact that at a young age, when the symptoms of the disease are most pronounced, the symptoms are pronounced, but stomach ulcers occur extremely rarely. The role of chronic gastroduodenitis in the occurrence of acute ulcers is still unclear. Most authors are inclined to believe that such gastric ulcers are reactive in nature. Cases of artificial exacerbation of chronic gastritis during surgical interventions have been described. Along with this, cases of spontaneous exacerbation of long-existing chronic gastritis, as a result of the development of peritonitis or perforation of a gastric ulcer, have been described. Just as with the chronic course of duodenal ulcer, with chronic gastritis all

Spasokukotsky - Kochergin method in medicine (A.V. Spaskov) The technique is used to determine the obstruction of the jejunal orifice in rare types of duodenal atresia. The technique involves inserting the tip of a probe aspirator into the esophagus through a probe and gradually removing the tips of the probes moistened with the colon, placing them at a certain distance from each other in a distended narrowed segment of the intestine, while the ampoule is filled with an isotonic solution, moving it along the intestine until until the fluid level in the ampoule stops changing, which indicates that the mouth of the jejunum is free and located in a narrowed segment, this level corresponds to the level of the EPC. Then an antiperistaltic drug is administered and the ampoule is moved again; if there is an orifice inside the ampoule, the level does not change; if the edge is obturated, the ampoule moves freely.