On December 29, 2021, prof. dr hab. Hady Razak Hady, together with the team of surgeons from the 1st Clinical Department of General and Endocrine Surgery, performed an innovative operation of the median arcuate ligament release using the laparoscopic method.
The compression of the arcuate ligament on the celiac artery causes the development of the MALS syndrome (median arcuate ligament syndrome, Dunbar's syndrome), manifested by severe postprandial abdominal pain that can lead to serious complications, including malnutrition and enlargement of the visceral vessels. Technically, the operation consists in cutting the connective tissue band pressing the celiac artery at the exit from the abdominal aorta. The above-mentioned vessels are responsible for the proper blood supply to most organs of the abdominal cavity, their damage in a few seconds can lead to life-threatening bleeding. Until now, this type of surgery was performed using the classic method, i.e. laparotomy. The use of the laparoscopic technique allows the patient to recover faster, reduce postoperative pain, reduce the risk of distant postoperative complications in the form of intraperitoneal adhesions and leaves a better cosmetic and estetic effect.
It should be emphasized that the above-mentioned operation was performed for the first time in the region. So far, two such procedures have been performed in Poland and they are also rare in the world.
Surgical team - prof. Hady Razak Hady, lek. Patrycja Pawłuszewicz, lek. Piotr Gołaszewski
Medical imaging – dr Adam Łukasiewicz