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• W4385059191 abstract "Summary. Introduction. The experience of treating 88 patients with rectus abdominis diastasis and rectus abdominis diastasis in combination with anterior abdominal wall hernias is presented. The effectiveness of various types of laparoscopic and traditional surgical interventions have been studied.&#x0D; Aim. Optimization of surgical treatment of patients with rectus abdominis diastasis by developing and implementing new various types of laparoscopic interventions.&#x0D; Materials and methods. All 88 patients were divided into 2 groups. The main group consisted of 43 patients (26 women and 17 men), the comparison group – 45 (19 men and 26 women). In the comparison group, patients underwent surgical interventions using traditional methods: autoplasty according to Sapezhko – 2; Autoplasty according to Napalkov – 10; Alloplasty according to the “inlay” type – 23; Allogernioplasty according to the “Subllay” type – 10. In the main group, patients underwent surgical interventions using purely laparoscopic methods in the volume: rectomuscularography according to the “Total Endoclose” type – 7; operation “ Irom “with fixation of the prosthesis according to the type” Total Ergoclose” – 20; operation “Irom “+ rectomuscularography with fixation of the prosthesis according to the type “Total Ergoclose” – 13; operation “E-TEP”according to the river-Stoppa method with fixation of the prosthesis according to the type” Total Ergoclose” – 1.&#x0D; Research results and their discussion. The effectiveness of operations was evaluated basing on the quality and rate of formation of muscle duplication, or reticular-fibrous complex on the site of diastasis, by measuring the thickness of the anterior abdominal wall using ultrasound at three levels: in the epigastric zone – approximately 7 cm. above the navel, or along the upper edge of the mesh graft fixation; 2 cm above the navel, or along the conditional center of the mesh graft; 2 cm below the navel, or along the lower edge of the mesh graft fixation. Studies in each zone were performed three times: on the 5th day, 1 month later, and 6 months after surgery.&#x0D; Conclusions. The formation of a mesh-fibrous complex, or muscle duplication, during open operations lasts much longer than during laparoscopic interventions. In the main group, a month later, ultrasound data shows almost complete restoration of the natural anatomy of the abdominal wall, and 6 months after surgery, the difference between the thickness of the anterior abdominal wall in the main group and the comparison group is 3 times." @default.
• W4385059191 created "2023-07-23" @default.
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• W4385059191 date "2023-02-26" @default.
• W4385059191 modified "2023-09-30" @default.
• W4385059191 title "OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH RECTUS ABDOMINIS DIASTASIS" @default.
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• W4385059191 doi "https://doi.org/10.37699/2308-7005.1-2.2023.04" @default.
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