METHOD FOR LUMBAR EXTRAPERITONEAL SYMPATHECTOMY

摘要

FIELD: medicine, endoscopic surgery. SUBSTANCE: access is performed at the line from the end of 11th rib towards umbilicus between anterior and middle axillary lines. One should layer-by-layer dissect muscles of lateral wall and cross-sectional fascia. Peritoneum is replaced to the front. Retractor's spade with illuminator are introduced into anterior angle of the wound. The next is diametrally opposite spade. One should form working space as cylinder widening in the middle as small barrel. EFFECT: decreased traumaticity level. 1 cl