Remodeling of muscular layer of abdominal wall in patients with postoperative ventral hernia

Kanakhina L.B.; Protasov A.V.; Mazurova O.I.

doi:https://doi.org/10.17116/hirurgia202504146

Kanakhina L.B.

Patrice Lumumba Peoples’ Friendship University of Russia

ORCID: 0000-0003-0260-1478

Protasov A.V.

Peoples’ Friendship University of Russia named after Patrice Lumumba

ORCID: 0000-0001-5439-9262

Mazurova O.I.

Peoples’ Friendship University of Russia named after Patrice Lumumba

ORCID: 0000-0003-2677-6272

Remodeling of muscular layer of abdominal wall in patients with postoperative ventral hernia

Authors:

Kanakhina L.B., Protasov A.V., Mazurova O.I.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(4): 46‑52

DOI: 10.17116/hirurgia202504146

Read: 583 times

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To cite this article:

Kanakhina LB, Protasov AV, Mazurova OI. Remodeling of muscular layer of abdominal wall in patients with postoperative ventral hernia. Pirogov Russian Journal of Surgery. 2025;(4):46‑52. (In Russ.)
https://doi.org/10.17116/hirurgia202504146

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Abstract:

OBJECTIVE

To compare the musculature of anterior abdominal wall in healthy people and patients with large or gigantic ventral hernia.

MATERIAL AND METHODS

A retrospective study included 200 patients between January 2020 and September 2024. Two groups were formed for subsequent analysis. The first group consisted of 100 participants without postoperative ventral hernia who underwent examination and treatment. The second group consisted of 100 patients diagnosed with large or giant ventral hernias. All participants underwent computed tomography (CT) of the abdomen, retroperitoneal space and pelvic region. Analysis of anterior abdominal wall muscles was based on CT findings. Thickness, length, area, density, symmetry, structural integrity, volume and circumference were measured.

RESULTS

There were significant differences in muscle length along the inner and outer contours on the right side and area of anterior abdominal wall muscles on both sides. These findings suggest potential changes of these parameters in the 2^nd group. Thickness of anterior abdominal muscles differed significantly (p-value ~0.017).

CONCLUSION

There are significant structural differences in anterior abdominal wall musculature between healthy individuals and people with large and giant ventral hernias. This information can improve preoperative management and surgical techniques aimed at restoring the integrity and function of abdominal wall.

Keywords:

postoperative ventral hernia

large ventral hernias

giant ventral hernias

surgical treatment of ventral hernias

preoperative management before hernia repair

CT abdominometry

Authors:

Kanakhina L.B.

Patrice Lumumba Peoples’ Friendship University of Russia

ORCID: 0000-0003-0260-1478

Protasov A.V.

Peoples’ Friendship University of Russia named after Patrice Lumumba

ORCID: 0000-0001-5439-9262

Mazurova O.I.

Peoples’ Friendship University of Russia named after Patrice Lumumba

ORCID: 0000-0003-2677-6272

Received:

23.12.2024

Accepted:

15.01.2025

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