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A.V. Pavlov

Ryazan State Medical University

A.S. Baranova

Ryazan State Medical University

A.V. Fedoseyev

Ryazan State Medical University

A.I. Vvedensky

Ryazan State Medical University

G.S. Lazutina

Ryazan State Medical University

N.V. Ovchinnikova

Ryazan State Medical University

I.V. Bakharev

Ryazan State Medical University

Current view of the surgical anatomy of the anterolateral abdominal wall muscles and their aponeuroses

Authors:

A.V. Pavlov, A.S. Baranova, A.V. Fedoseyev, A.I. Vvedensky, G.S. Lazutina, N.V. Ovchinnikova, I.V. Bakharev

More about the authors

Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2023;7(3): 44‑52

DOI: 10.17116/operhirurg2023703144

Views: 3182

Downloaded: 71

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Table of contents

CURRENT VIEW OF THE SURGICAL ANATOMY OF THE ANTEROLATERAL ABDOMINAL WALL MUSCLES AND THEIR APONEUROSES
CURRENT VIEW OF THE SURGICAL ANATOMY OF THE ANTEROLATERAL ABDOMINAL WALL MUSCLES AND THEIR APONEUROSES

To cite this article:

Pavlov AV, Baranova AS, Fedoseyev AV, Vvedensky AI, Lazutina GS, Ovchinnikova NV, Bakharev IV. Current view of the surgical anatomy of the anterolateral abdominal wall muscles and their aponeuroses. Russian Journal of Operative Surgery and Clinical Anatomy. 2023;7(3):44‑52. (In Russ.)
https://doi.org/10.17116/operhirurg2023703144

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In modern surgical practice, hernioplasty does not lose its relevance, because even considering the surgical possibilities, the percentage of postoperative ventral hernias still remains high today. An indisputable advantage in improving the surgical technique of any hernioplasty technique is a detailed and comprehensive knowledge of the anatomy of the anterolateral abdominal wall components. A large number of factors, both patient-dependent and patient-independent, will influence individual anatomical variability of morphometric measures of the anterior abdominal wall elements, namely the thickness and width of abdominal muscles and their aponeurosis, localization of the arcuate line and semilunar line as well as topography of vessels and nerves in this area. The surgeon’s ignorance of the possible variants of the anterior abdominal wall structure can impede the correct surgical procedure, as well as the occurrence of complications during or after surgery. This review names and summarizes anatomical variants of the anterolateral abdominal wall structure that were established both in the course of «purposeful» researches and were incidental findings. Patterns of changes depending on age, sex, body mass index, as well as the presence or absence of anterior abdominal wall pathology and other diseases. The obtained data allow assuming one or another variant of the anterior abdominal wall structure before surgeries on the abdominal cavity organs, in particular, before hernioplasty.

Keywords:

rectus abdominis sheath
anterior abdominal wall
variant anatomy
ventral hernia
posterior components separation technique
TAR technique

Authors:

A.V. Pavlov

Ryazan State Medical University

A.S. Baranova

Ryazan State Medical University

A.V. Fedoseyev

Ryazan State Medical University

A.I. Vvedensky

Ryazan State Medical University

G.S. Lazutina

Ryazan State Medical University

N.V. Ovchinnikova

Ryazan State Medical University

I.V. Bakharev

Ryazan State Medical University

Received:

26.04.2023

Accepted:

18.05.2023

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