Physical aspects of the white line from the herniologist´s point of view

Zhanygulov A.D.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

Inyutin A.S.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

Muraviev S.Yu.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

Physical aspects of the white line from the herniologist´s point of view

Authors:

Zhanygulov A.D., Inyutin A.S., Muraviev S.Yu.

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Journal: Endoscopic Surgery. 2018;24(1): 34‑37

DOI: 10.17116/endoskop201824134-37

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To cite this article:

Zhanygulov AD, Inyutin AS, Muraviev SYu. Physical aspects of the white line from the herniologist´s point of view. Endoscopic Surgery. 2018;24(1):34‑37. (In Russ.)
https://doi.org/10.17116/endoskop201824134-37

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Article considers the study of physical features of the abdominal raphe and their role in the etiology of postoperative ventral hernias.The aim of the study: to expand of the herniology theory in terms of an analysis the results of our own research and literature sources. Materials and methods. A summary analysis of available literature sources over the past 13 years were conducted, patients underwent by surgical treatment through median laparotomy to determine the frequency and location of postoperative ventral hernias were examined, and further, an experiment was conducted to determine the strength of the abdominal raphe. Results. The most frequent localization of postoperative ventral hernias is the epi-mesogastric region. The most «soft» from the viewpoint of the strength of the abdominal raphe is the middle region of its epigastric part and the area above the omphalus. We concluded regarding the frequency of postoperative ventral hernia development, the presence of «soft» segments of the abdominal raphe, which should be taken into account when sealing the aponeurosis.

Keywords:

laparotomy

strength of aponeurosis

sealing of aponeurosis

postoperative ventral hernia

Authors:

Zhanygulov A.D.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

Inyutin A.S.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

Muraviev S.Yu.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

List of references:

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