AUTHOR’S MODIFICATION OF DIASTASIS SUTURING AND NEOPUS FORMATION

Autor: Regina A. Pakhomova, Akop M. Babadzhanyan, Lyudmila V. Kochetova, Yurii S. Vinnik
Jazyk: English<br />Russian
Rok vydání: 2022
Předmět:
Zdroj: Siberian Journal of Life Sciences and Agriculture, Vol 14, Iss 1, Pp 469-483 (2022)
Druh dokumentu: article
ISSN: 2658-6649
2658-6657
DOI: 10.12731/2658-6649-2022-14-1-469-483
Popis: The aim of the study is to reduce the incidence of pup necrosis after suturing diastasis of the direct abdominal muscles. Materials and methods. The study included 34 patients. Abdominal volumes and diastasis levels were assessed. The presence of diastasis of the direct abdominal muscles was confirmed physically and by additional instrumental research methods: data from ultrasound examination of the anterior abdominal wall and electromyography of the direct abdominal muscles. Patients were divided into 2 groups depending on the type of diastasis suturing: 1 the group of diastasis of the right abdominal muscles was sutured in the traditional way, the study included women operated on in 2013–2016, in women 2 the group sutured diastasis of the right abdominal muscles by the author’s method (patent of the Russian Federation 2749475 from 11.06.21). Patients of group 2 were operated on from 2017 to 2022. Results. In comparison groups, the method of suturing diastasis was approached differently. In the postoperative period, there were significantly different complications. In the distant period, there was no relapse in the groups. Improvement in the functional state of the anterior abdominal wall also occurs noted patients after surgery. A year after the intervention, patients according to the survey: indicate a significantly smaller chronic pain syndrome in the umbilical ring and white line in both comparison groups and an improvement in cosmetic satisfaction of patients increased significantly, but in the second group it was slightly higher. Conclusion. Application of author’s modification in diastasis suturing and formation of neopoup reduces frequency of navel necrosis and improves cosmetic appearance of the latter.
Databáze: Directory of Open Access Journals
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