Voyačeka Resection

**Voyacheko resection**

Voyachebko resection - (inj. and ij. vojachebkij)

*Intestinal surgery, which involves partial removal of the colon, followed by suturing the ends of the intestine and bringing the remaining colon onto the abdominal wall.*

Etymology The term was introduced by I. I. Grekov in 1981 instead of “rectal resection” due to the fact that the term “rectocolectomy” was replaced by “colopexy”. The name means the doctor Ivan Ivanovich Voichik, who became the founder of the surgical treatment of colostomea a. At that time, this operation was extremely common.

I. I. Voichik was the first to propose preventing paresis of the anal sphincter by straightening the plate of the internal sphincter apparatus, lifting the distal end of the rectum and leaving the node of the subtrochlear section of the vascular-nervous pedicle in the capsule of the rectus muscle. This is still used successfully today

In recent years, there has been a steady increase in complications of the abdominal-perineal method of treating patients who have undergone a number of interventions with violation of the integrity of the natural sphincters.

Of no small importance in the correction of malformations of the anus is the anatomical orientation, which takes into account the topographic-anatomical state of the sphincterium and nervous elements in general, and even the direction of the sutures placed on the rectum for this purpose.

Since removal of a prolapsed rectum with this technique is always accompanied by significant damage to the anal ref.