[Method for creating approach by Volkovich-D'iakonov in technically complicated appendectomies]

Area of Science:

• Surgical Anatomy
• Surgical Technique
• Clinical Research

Background:

• The Volkovich-Dyakonov approach is a surgical method for accessing the appendix.
• Variations in appendix location can complicate surgical access.
• Existing surgical retractors may require optimization for specific anatomical challenges.

Purpose of the Study:

• To refine the Volkovich-Dyakonov surgical approach for diverse appendiceal anatomical positions.
• To enhance the design of the Sigal-Kabanov retractors for improved surgical exposure.
• To develop an apparatus-guided correction method for the Volkovich-Dyakonov approach.

Main Methods:

• Morphological experiments were conducted on 28 cadavers to evaluate different correction methods for the Volkovich-Dyakonov approach.
• The Sigal-Kabanov retractors were redesigned based on experimental findings.
• A novel apparatus-corrected technique for the Volkovich-Dyakonov approach was developed.
• A clinical trial involving 62 patients with acute appendicitis was performed to assess the new technique.

Main Results:

• The study identified and assessed various corrective strategies for the Volkovich-Dyakonov approach across different appendix locations.
• Improvements were made to the Sigal-Kabanov retractor design.
• A new method for performing the Volkovich-Dyakonov approach using apparatus correction was successfully developed.
• Clinical trials demonstrated superior outcomes for the modified approach compared to the traditional method in treating acute appendicitis.

Conclusions:

• The developed apparatus-corrected Volkovich-Dyakonov approach represents an advancement in surgical technique for acute appendicitis.
• The improved surgical approach offers distinct advantages over conventional methods, potentially enhancing patient outcomes.
• This study highlights the importance of anatomical considerations and technological aids in optimizing surgical procedures.