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- W3136261640 abstract "Metrical investigations are carried out of the two well known operative accesses to the appendix: 1) after McBumey-Volkovich-Djakonov with obique incision аnd 2) after Lenander with vertical incision. lt is established that the average depth with the first approach is б,0-l сm whereas with the second one - 7, 11 cm; average angle of operative field with the first access - 52,6 degrees and with the second - 44, 1 degrees; average deviation of the vision axis from the horizontal оnе is 57,92 degrets with the first approach and with the second - 45, 12. All the indices listed are rather in favor of the blique approach as compared to the verlical one, аnd the caecal projection with the appendix is rather within the range of the first access than in the range of the second one. Concerning the trauma, it is stated that with both approaches the integrity of the musculature of the abdominal wall is preserved, which fact represents the main advantage for both surgical routes. Whereas with the oblique approach the nerve trunks, their important ramifications (chiefly the last iпtercostal and first lumbar nerves) and the accompanying vessels remain intact, with the verlical approach:1-2 аnd even more of them are involved resulting in subsequent nervous disturbances. When additional widening of the incision proves to bе necessary because of abnormally situated caecum, it is underlined that the surgical trauma is equally increased with both approaches. In similar cases а certain optimum must bе observed it is nоt justified to increase too much the operative trauma at the expense of а better approachability." @default.
- W3136261640 created "2021-03-29" @default.
- W3136261640 creator A5082766345 @default.
- W3136261640 date "1962-11-25" @default.
- W3136261640 modified "2023-09-23" @default.
- W3136261640 title "СРАВНИТЕЛНИ ИЗСЛЕДВАНИЯ НА OПЕРАТИВНИТЕ ДОСТЪПИ КЪМ AПEHДИКCA" @default.
- W3136261640 doi "https://doi.org/10.14748/ssm.v1i0.7268" @default.
- W3136261640 hasPublicationYear "1962" @default.
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