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    The invention relates to medicine, namely surgery, and can be used in surgical treatment for diastasis of the rectus abdominis muscles. From the practice of surgical treatment of diastasis of the rectus abdominis muscles, the intraperitoneal method of вскрфтие treatment is known, proposed by V.

    Voznesensky Вскрытие, V. Fingers inserted into the abdominal cavity capture the left rectus abdominis muscle, protrude it into the wound and stitch it with catgut thread from the peritoneum to the entire thickness.

    Вскрытие the same way, the right rectus abdominis muscle влагалищо stitched along the entire length of the diastasis. In the interval between these sutures, a number of sutures are also imposed, capturing the rectus muscles more superficially, and an excess of aponeurosis is excised, imposing a continuous suture on it.

    Champion Schampioner V. Egiev, K. Lyadov, P. To eliminate diastasis, two rows of nodular silk sutures are applied to the vagina of the rectus abdominis muscles. Then, sutures are placed in the gap between the previous sutures until the edges of the muscles are fully brought together.

    On top of the first row of seams, a second row of nodal silk seams is applied. There is also a вскрытио of A. Troitsky M. Deryugin "Reconstructive plastic surgery of complex ventral hernias and diastases of the rectus abdominis muscles", Tomsk,p.

    The gaps влагаоище the U-shaped seams are sutured with a series of nodal joints. If the wound is located below the ввкрытие, where the вскрыиие is not involved in the formation of the вскрытие wall влагалщие the vagina of the rectus muscles, then the first row of sutures is applied to the peritoneum and transverse fascia.

    With diastasis of the rectus abdominis muscles, N. Napalkova V. Zhebrovsky "Surgery of hernia of the abdomen", M. The edges of the aponeurosis sew the edge to the edge. Then, at the medial edge влагалище the vagina of the rectus muscles, two parallel sections of the anterior leaf of the vagina are made.

    The inner влвгалище of the incisions of the anterior leaf of the aponeurotic vagina are sutured, and then the external edges are sutured in the same way.

    Recently, methods using polypropylene mesh have become more widely used: meshing on an aponeurosis without suturing onlaymeshing on an aponeurosis without suturing inlaymeshing on and under an aponeurosis without suturing inlay-onlaystitching of the aponeurosis with the location of the mesh under and on the aponeurosis, laparoscopic methods of graft surgery.

    The closest method of surgical treatment for diastasis of the rectus abdominis muscles to the method влашалище by us is the method of A. Martynov K. Yuskin, V. Zhebrovsky "Abdominal hernias", Влагабище.

    Throughout the diastasis, an aponeurosis is dissected 1 cm from the edge of the vagina влагалище the left rectus abdominis muscle and the abdominal cavity is opened. Two unequal peritoneal aponeurotic flaps form; their edges are captured by several clamps, pulled to the sides. The edges of the rectus влагслище protrude; starting from the top, a number of stitches are placed on влагалище edges of слагалище vagina.

    Thus, the rectus muscles bring them together until they open their vagina. The free edge of the aponeurosis at влагалищще vagina of the right rectus muscle is applied in front and sewn along the entire length of the incision to the aponeurosis of the vagina of the left rectus muscle. However, the known methods have several disadvantages that affect the occurrence of relapse and violation of the physiological properties of the anterior abdominal wall:. The aim воагалище the invention is to improve the results of surgical treatment for diastases of the rectus abdominis muscles, increase the reliability of plastics and restore full physiological functions of the anterior abdominal вскрытпе.

    The goal is achieved in the invention by the fact that after isolation of the aponeurosis that makes up the anterior sheet of the vagina of the rectus abdominis muscles, влагалище aponeurosis is cut from the medial side along the edge of the vagina of the left rectus abdominis muscle, вскытие opening the latter, retreating 0.

    Decisive in the assessment of the effectiveness of various methods of всскрытие treatment of hernias and diastases of the rectus abdominis muscles is the rate of relapse. According to the literature S. Emelyanov et al. Egieva et al. It вскрытие necessary to pay attention to the fact that evaluating the effectiveness of numerous methods of treating diastases of the rectus abdominis muscles, it is more advisable to conduct taking into account the main pathogenetic ideas.

    One of the significant drawbacks of most of the lightweight methods used today to eliminate diastasis of the rectus abdominis is the lack of consideration of the biomechanical and topographic anatomical aspects влагвлище the state of the anterior abdominal wall. When opening the vagina of the rectus muscles, stitching them, progressive atrophy of the muscles themselves occurs and a corresponding displacement leads to вчкрытие relapse.

    As a result of muscle atrophy, their disposition persists, there is no adequate contraction, the tension of the anterior abdominal wall does not develop, which leads to impaired expiration, and progression of respiratory failure.

    All this leads to the shutdown of вскрытпе anterior abdominal wall from the physiological mechanisms of the act of breathing. Indications for surgery for a discrepancy in the влагаилще abdominis muscles should be very limited after a comprehensive examination of the patient and a prospective assessment of the immediate and long-term results of the operation.

    At the present stage of development of herniology, the isolated use of any влааглище method is clearly insufficient to reduce the number of relapses of the disease. The proposed method of surgical treatment for diastases of the rectus abdominis muscles, in addition to reconstruction of the anterior abdominal wall, provides for the restoration of the full function of the anterior abdominal wall and allows it to effectively participate in the влагаалище process.

    Our proposed method has been successfully tested вскрытие the surgical вскрытие of влагалище Municipal Clinical Hospital No. Kirov in 25 patients. Below are the results of testing. Patient Влагашище. Novokaini 0. Under local anesthesia Sol. After isolation of the aponeurosis and cases of the rectus abdominis muscles, retreating 1 cm from the вскыртие of the left rectus abdominis muscle, the combined aponeurosis of the rectus abdominis muscles is dissected see Fig.

    In a dull way, the peritoneum is separated from the posterior leaf of the вскрстие of the rectus muscles. The first row of sutures was laid, capturing the влагалище edge of the aponeurosis on the left and the back sheet of the vagina of the right rectus abdominis muscle see figure 2. The rectus abdominis are brought close to touch. The aponeurosis flap on the right is hemmed with interrupted sutures along the entire length to the anterior sheet of the vagina of the left rectus abdominis muscle see Fig.

    Subcutaneous fat drainage with active controlled drainage. Stitches on the wound. The patient is allowed to get up on the second day. Drainage removed on the 3rd day. During the control examinations after 4 months, 1 year, 2 years there is no влагалищо, there are no signs of relapse, the function of the anterior abdominal wall is not impaired.

    Patient O. After performing влаоалище repair and plastic surgery of the umbilical ring defect, aponeurosis is highlighted throughout. Retreating 1 cm from the edge of the left rectus abdominis muscle, the combined aponeurosis of the rectus abdominis is dissected see Fig.

    The remaining flap of the aponeurosis on the right is hemmed with interrupted sutures along the entire length to the anterior sheet of the vagina of the left rectus abdominis muscle see Fig. The patient is allowed to get up for 2 days. During follow-up examinations in a month, for three months there вскрыти no pain, there are no signs of relapse. Patient B. Влагалище first row of sutures was laid capturing the selected edge of the aponeurosis on the left and the back sheet of the vagina of the right rectus abdominis muscle see figure 2.

    The proposed вдагалище achieves the restoration of the влалалище line of the abdomen and the restoration of the full function of the anterior abdominal wall. These features of the operation are the conditions that improve both the processes of tissue regeneration in the plastic field and the results of the operation as a whole, helping to reduce the risk of postoperative complications and improve the quality of life of patients. Effective date : FIELD: medicine.

    Method consists in cutting rectus muscles aponeurosis with opening of abdomen with further sewing of vagina aponeurosis from the left side with right rectus muscle vagina влагабище application of dublication with aponeurosis of vagina of right abdominal rectus muscle.

    After isolation of aponeurosis, which constitutes вскрытие leaf of abdominal rectus muscles vaginas, aponeurosis is cut from medial side on the edge of left abdominal rectus muscle vagina, without opening the latter, indenting 0. Peritoneum is слагалище in blunt way with preparitoneal cellular tissue from posterior walls of rectus muscles vaginas to their middle, forming two different aponeurotic flaps. On all length applied is first line of sutures, gripping 0. After that applied is second line of sutures, fixing free edge of aponeurosis from всврытие right side to anterior wall of left rectus muscle vagina on all length, forming white line of abdomen.

    EFFECT: application of invention allows to form white line of abdomen, reduce weakness of anterior peritoneal wall and restore its full function. However, the known methods have several disadvantages that affect the occurrence of relapse and violation of валгалище physiological properties of the anterior abdominal wall: - in most cases, the plastic of the anterior abdominal wall opens the abdominal cavity; - opening the vagina of the вскрытир abdominis muscles and their allocation вкрытие to the formation of hematomas in the space between the front and rear sheets, as well as muscle atrophy; - doubling the aponeurosis throughout cannot create a full-fledged, durable scar; - when stitching the thickness of the muscles, their влагалмще occurs, and with an appropriate displacement, it contributes to the development of relapse.

    The essence of the invention is illustrated by drawings, where - figure 1 is a dissection of the combined aponeurosis of the rectus abdominis muscles 1 cm from the edge of the vagina of вскрытие left rectus muscle, - figure 2 - hemming of the aponeurosis of the left side to the previously selected back sheet of the vagina of the right rectus abdominis muscle, - figure 3 - hemming of the aponeurosis flap on the right with interrupted sutures along the entire length to the влагалище sheet of the vagina of the left rectus abdominis muscle.

    Example 1 Patient Z. Example 2 Patient O. Example 3 Patient B. The developed method can be widely used in the practical work of surgical departments.

    A method of surgical treatment for diastases of the rectus abdominis muscles, including dissection of the aponeurosis of the rectus muscles with opening the abdominal cavity, followed by suturing of the vaginal aponeurosis on the left side with the vagina of the right rectus muscle and applying a duplicate of the vaginal aponeurosis вскоытие the right rectus muscle, characterized in that after the aponeurosis is isolated constituting the anterior leaf of the vagina of the rectus abdominis muscles, an aponeurosis is cut влагалище the medial side along the edge of the vagina of the left rectus abdominis muscle, without opening the latter, falling 0.

    RUC1 en. Method of surgical correction in diastasis of rectus abdominis muscles of вскрытие. The surgical treatment of the diastasis recti abdominis: вскрытие original technique of prosthesis repair of the abdominal wall.

    G Chir. The incision made in the abdominal wall in cases of appendicitis, with a description of a new method of operating. Krishna et al. Laparoscopic inguinal hernia repair: transabdominal preperitoneal TAPP versus totally extraperitoneal TEP approach: a prospective randomized controlled trial. Laparoscopic inguinal hernia repair—a вскрытиее personal series of children. McKernan et al. Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach.

    There was made a comparative analysis of surgical complications, life quality of patients and also sexual life quality after the correction of genital prolapse with. FIELD: medicine. SUBSTANCE: invention relates to the field of medicine, namely to surgery, and can be used in the surgical treatment of diastasis recti. и яремной вены были пункцию и внутрисосудистого подходов обеспечивается стандартная перкутанная внутрипросветная влагалищ.

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    A method of reconstruction of female genitalia in girls with virilization
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    Email the влагалище Login required. Влагалище permissions. Keywords bacterial vaginosis влагалище section chronic endometritis endometriosis endometrium genital endometriosis gestational diabetes mellitus in вскрытие fertilization infertility laparoscopy macrosomia maternal mortality miscarriage влагалище oxytocin pelvic вскрытие prolapse placenta вланалище влагалище syndrome preeclampsia pregnancy risk factors.

    Comparative assessment Of life quality of patients after the correction of genital prolapse with different synthetic вскрытие. Authors: Bezhenar V. Влагалище Fedorovich Bezhenar D. LIX 2. LVII 3. Al-Salihi S. Altman D. Baginska J. Prosima — a new device for pelvic organ prolapse repair. Boyles S. Cervigni M.

    Chen J. Prospective study on total pelvic reconstruction surgery with Prosima in the treatment of вскрытие organ prolapse stage III.

    July Food and Drug Administration Website. Handa V. Female sexual function and pelvic floor disorders. Huser M. Lermann J. Available online 10 January Vaginal prolapse repair: suture repair versus mesh augmentation. Вскрытие in Female Pelvic Reconstruction. Nurse Вскрытие.

    Muffly T. Sayer T. Prosima Study Investigators. Slack M. Journal — Reynolds S. Immediate effects of the initial Вскрытие notification on вскрытие use of surgical mesh for pelvic organ prolapse surgery in medicare beneficiaries. Togami J. Vaginal mesh - the controversy. New Orleans: Published online. Zielinski R. The relationship between pelvic вскрытие prolapse, genital body image, and sexual health.

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    Authors: Komyakov B.K.1, Guliyev B.G.1, Bezhenar V.F.2; Affiliations: I. I. Mechnikov North-Western State Medical University, Ministry of Public Health of Russian. There was made a comparative analysis of surgical complications, life quality of patients and also sexual life quality after the correction of genital prolapse with. FIELD: medicine. SUBSTANCE: invention relates to the field of medicine, namely to surgery, and can be used in the surgical treatment of diastasis recti.

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