HISTORICAL ASPECTS OF THE DEVELOPMENT OF METHODS OF «STRENGTHENING» APONEUROSIS IN ABDOMINOPLASTY
https://doi.org/10.17238/issn2072-3180.2021.2.87-93
Abstract
Abdominoplasty performed for aesthetic or medical reasons aims to restore physiological ratios of anatomical formations of the anterior abdominal wall and to obtain a good aesthetic result for the patient. At the same time, the main task is to maximize the number of local and systemic postoperative complications, for this the surgeon must clearly know the anatomical, physiological features of the anterior abdominal wall, be able to use information about the mechanisms and pathogenesis of anterior abdominal wall deformation. The review describes the types of deformation of the anterior abdominal wall that require strengthening of its frame during abdominoplasty. Data are given on the methods of strengthening the anterior abdominal wall frame during abdominoplasty. The disadvantages and advantages of the methods used are indicated. Based on the literature data, it has been proved that the problem of choosing a material to eliminate defects of the anterior abdominal wall and choosing an effective method for correcting it has not yet been solved.
A significant number of operations carried out in modeling the anterior abdominal wall framework using both synthetic and biological materials and methods of their use indicate that the problem has not yet been solved. This forces surgeons to carefully choose the endoprosthesis, taking into account its size, biocompatibility and plastic technique according to the detected defect of the anterior abdominal wall frame.
About the Authors
G. E. Karapetyan
The Krasnoyarsk state medical university of the prof. V.F. Voyno-Yasenetsky
Russian Federation
Russian Federation
Karapetyan Georgy Eduardovich - M.D., D.Sc. (Medicine), Prof., of the Department of the general surgery of the professor M.I. Gulman Federal state-funded educational institution of the higher education
660022, Krasnoyarsk
R. A. Pakhomova
University «Reaviz»
Russian Federation
Russian Federation
Pakhomova Regina Alexandrovna - M.D., D.Sc. (Medicine), associate professor of the Department of Surgical Diseases of the Private Institution of the Educational Organization
198099, St. Petersburg
L. V. Kochetova
The Krasnoyarsk state medical university of the prof. V.F. Voyno-Yasenetsky
Russian Federation
Russian Federation
Kochetova Lyudmila Viktorovna - PhD in Medicine, professor of the Department of the general surgery of the professor M.I. Gulman Federal state-funded educational institution of the higher education
198099, St. Petersburg
H. A. Harutyunyan
Clinic of restorative therapy «Bionika»
Russian Federation
Russian Federation
Harutyunyan Hrant Aykasarovich - Surgeon, plastic surgeon
660021, Russia, Krasnoyarsk, 151 Lenin St.
E. V. Ivkin
Chief Military Clinical Hospital named after Academician N.N. Burdenko of the Ministry of Defense of the Russian Federation
Russian Federation
Russian Federation
Ivkin Evgeny Valerievich - Head of the Department of Anesthesiology-Resuscitation
143920, Russia, Balashikha, st. Admiral Gorshkov, d.4
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Review
For citations:
Karapetyan G.E., Pakhomova R.A., Kochetova L.V., Harutyunyan H.A., Ivkin E.V. HISTORICAL ASPECTS OF THE DEVELOPMENT OF METHODS OF «STRENGTHENING» APONEUROSIS IN ABDOMINOPLASTY. Moscow Surgical Journal. 2021;(2):87-93. (In Russ.) https://doi.org/10.17238/issn2072-3180.2021.2.87-93
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