From Big Medical Encyclopedia

LUMBOTOMY (Latin lumbus a waist + grech, tome a section, a section) — opening of retroperitoneal space extra peritoneal access. As independent operation it is applied seldom (e.g., diagnostic L.), the L is much more often. is quick access to bodies of retroperitoneal space for performance of various operations: opening of retroperitoneal phlegmons, backbone, kidney operation, ureter, etc.

the Diagrammatic representation of skin cuts (.sploshny lines) at various lumbotomies: and — across Chaklin; — according to Fedorov (above) and to Bergmannu-Izrael (below); in — according to Southwick-Robinson.

Equipment L. consists in a section of skin and hypodermic cellulose then muscles stupidly move apart and partially cut (depending on area L.). After a section of a fascia bare and will stupidly mobilize a peritoneum. Thereby access to bodies is reached retroperitoneal space (see). The differentiated use of separate types of L is essentially important. depending on localization of the struck body or patol, educations, allowing to avoid an excessive injury of soft tissues and to create optimal conditions for performance of the main intervention. In this regard in literature a large number of quick accesses to retroperitoneal space is described. Fedorov's accesses, Bergmanna — Izrael, Chaklin, Southwick — Robinson (fig.), etc. are the most often used. L. it can be carried out in combination with thoracotomy (see) and laparotomy (see).

Bibliography: Kovalenko D. G. Torakodiafragmalnsh access to grudopoyasnichny department of a backbone at a tubercular spondylitis, Ortop, and travmat., No. 2, page 63, 1966, To about r A. A., Talyshinsky R. of River and X in and - with yu to N. I. Quick accesses to chest and lumbar vertebrae, page 21, M., 1968; The Short course of operational surgery with topographical anatomy, under the editorship of V. N. Shevkunenko and A. N. Maksimenko-va, page 429, etc., L., 1951; H and and y G. A. Ekstraperitonealno-diafragmalny access to grudo-ioyasnichny department of a backbone at a tubercular spondylitis, Ortop, and travmat., No. 6, page 54, 1968; F piece about r about in S. P. Hirurgiya of kidneys and ureters, century 2, page 213, M. — Pg., 1923; Tsivyan Ya. L. Surgery of a backbone, M., 1966, bibliogr.

H. E. Makhson.