PARATRACHEAL METHOD OF SURGICAL APPROACH TO ANTERIOR SURFACE OF CERVICAL SPINE Russian patent published in 2024 - IPC A61B17/00 A61B17/02 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to neurosurgery, traumatology. X-ray marking of the level of interest on the anterior surface of the neck is performed in a patient lying on his/her back. Thereafter, cutaneous fascial layers, subcutaneous muscle of neck and fatty tissue are incised to anterior surface of cervical vertebral bodies. Incision 20–40 mm is made medial to 2–3 mm of the line of the outer edge of the trachea. Thereafter, a subcutaneous muscle of the neck is dissected along the incision line and immobilized in both directions. Then sublingual muscles and trachea with oesophagus are bluntly separated, and anterior surface of spine is exposed. After that, a wound retractor-safety device of the oesophagus and trachea, made of medical steel and having a handle and an L-shaped working part with width of 25 mm, is inserted into the wound, distal part of the L-shaped working part 50 mm long is bent outwards and ends with two anchors in the form of a fish tail, bent frontally. After the distal working part of the instrument is immersed in the wound to the anterior surface of the cervical spine, the visceral organs are displaced medially. Then the anchor part is brought on the anterolateral surface of the vertebral bodies from the opposite side and fixed in the bone tissue, with the help of the L-shaped part, the oesophagus and trachea are withdrawn from the surgical field, and the handle is fixed to the surgical table.

EFFECT: method allows to reduce the risk of visceral organs damages, to exclude traumatisation of the vascular bundle, since large incisions are not required, which in turn reduces the surgical injury of soft tissues and does not lead to the development of gross cicatricial adhesions in the postoperative period.

1 cl, 7 dwg, 1 ex