Experimental substantiation of the original minimally invasive access for surgical correction of diastasis of rectus abdominis muscles

Korobov A.V.

Medical Institute of the Penza State University

ORCID: 0000-0001-7311-6715

Sergatskiy K.I.

Medical Institute of the Penza State University

ORCID: 0000-0002-3334-8244

Nikolskiy V.I.

Medical Institute of the Penza State University

ORCID: 0000-0002-9927-580X

Romanova V.S.

Medical Institute of the Penza State University

ORCID: 0000-0001-9789-5194

Kupryushina N.V.

Regional Bureau of Forensic Medical Examination

ORCID: 0009-0002-3618-1766

Experimental substantiation of the original minimally invasive access for surgical correction of diastasis of rectus abdominis muscles

Authors:

Korobov A.V., Sergatskiy K.I., Nikolskiy V.I., Romanova V.S., Kupryushina N.V.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2024;(3): 99‑104

DOI: 10.17116/plast.hirurgia202403199

Downloaded: 26

To cite this article:

Korobov AV, Sergatskiy KI, Nikolskiy VI, Romanova VS, Kupryushina NV. Experimental substantiation of the original minimally invasive access for surgical correction of diastasis of rectus abdominis muscles. Plastic Surgery and Aesthetic Medicine. 2024;(3):99‑104. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202403199

Подписка 2025 (Plastic Surgery and Aesthetic Medicine)

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RELEVANCE

In surgical practice, diastasis of the rectus abdominis muscles, as a separate nosology, and in combination with umbilical hernias and hernias of the white line of the abdomen remains an urgent problem. Despite the large number of surgical ways to eliminate a hernial defect without suturing the diastasis, hernia recurrences are noted in 20% of cases.

OBJECTIVE

To experimentally substantiate the original surgical access for performing surgical correction of diastasis of the rectus abdominis muscles.

MATERIAL AND METHODS

An original minimally invasive surgical approach was proposed to eliminate diastasis of the rectus abdominis muscles. The proposed accesses were performed on 9 corpses during the experiment. The features of access parameters depending on the constitutional type of a person were studied.

RESULTS

A significant (p<0.05) influence of the constitutional type on the parameters of the wound depth and the angle of inclination of the axis of surgical action was revealed. When comparing the parameter of the angle of surgical action on sectional material with different constitutional body types, no significant difference in measured values was obtained (p>0.05).

CONCLUSION

The parameters of the original minimally invasive surgical access for the elimination of diastasis of the rectus abdominis muscles, revealed in an experimental study on sectional material, suggest the effectiveness of the technique in clinical practice.

Keywords:

diastasis of the rectus abdominis muscles

surgical access

parameters of surgical access

correction of diastasis

Authors:

Korobov A.V.

Medical Institute of the Penza State University

ORCID: 0000-0001-7311-6715

Sergatskiy K.I.

Medical Institute of the Penza State University

ORCID: 0000-0002-3334-8244

Nikolskiy V.I.

Medical Institute of the Penza State University

ORCID: 0000-0002-9927-580X

Romanova V.S.

Medical Institute of the Penza State University

ORCID: 0000-0001-9789-5194

Kupryushina N.V.

Regional Bureau of Forensic Medical Examination

ORCID: 0009-0002-3618-1766

Received:

29.12.2023

Accepted:

27.03.2024

List of references:

Sergatsky KI, Nikolsky VI, Titova EV, Pulotova PR, Korobov AV, Ivachev AS. Diastasis of rectus abdominal muscles: true issues of diagnosis and treatment of non-genuine hernia. Ulyanovsk Medico-Biological Journal. 2022; 2:22-37. (In Russ.). https://doi.org/10.34014/2227-1848-2022-2-22-37
Topchiev MA, Bondarev VA, Elderov SSh. Comparative aspects of methods of elimination of diastasis of rectus abdominis muscles. Astrakhan Medical Journal. 2010;5(4):113-115. (In Russ.).
Bondarev VA, Zurnadzhiants VA, Topchiev MA. Alternative approach to surgical treatment of diastasis of rectus abdominis muscles. Medical Bulletin of the South of Russia. 2014;4:29-30. (In Russ.).
Topchiev MA, Nurmagomedov AG, Parshin DS, Alibekov RS, Topchiev AM. Long-term results of treatment of diastasis of rectus abdominal muscles in combination with ventral hernias. Astrakhan Medical Journal. 2016;11(1):108-115. (In Russ.).
Mnoyan AKh, Mudarisov RR, Vtorenko VI. Topical issues of treatment of diastasis of rectus abdominal muscles in combination with hernias of the anterior abdominal wall. Moscow Surgical Journal. 2022;1:90-98. (In Russ.).
Yurasov AV, Rakintsev VS, Matveev NL, Burdakov VA, Makarov SA, Kupriyanova AS. Diastasis of the rectus abdominis muscles in the surgical aspect: determination, epidemiology, etiopathogenesis, clinical picture, diagnosis. Endoscopic Surgery. 2019;25(6):41-48. (In Russ.). https://doi.org/10.17116/endoskop20192506141
Vtorenko VI, Mudarisov RR, Mnoyan AKh. Minimally invasive treatment of patients with diastasis of the rectus abdominis muscles in combination with plastic surgery of various hernias of the anterior abdominal wall. V All-Russian Congress of Herniologists. 2021:31. (In Russ.).
Pakhomova RA, Fedotov IA. Differential approach to suturing the diastasis of the rectus muscles of the anterior abdominal wall. Siberian Medical Review. 2021;6(132):83-90. (In Russ.).
Patent No. RU 2801500 C1, Russian Federation, MPK A61B 17/00. Method of surgical treatment of diastasis of the rectus abdominis muscles. Korobov AV, Sergatskii KI, Nikolskii VI, Mitroshin AN, Titova EV. Appl. No. RU2022101002A dated April 11, 2022; publ. August 09, 2023. (In Russ.).
Bashkirov PN. The doctrine of human physical development. M.: Publishing House of the Moscow University; 1962;340. (In Russ.).
Sozon-Yaroshevich AYu. Anatomical and clinical substantiations of surgical access to internal organs. L.: Medgiz; 1954:180. (In Russ.).

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