History of the study of connective tissue dysplasia and its role in the development of postoperative hernias
A. V. Yurasov,
S. N. Gurin,
R. R. Mudarisov,
A. H. Mnoyan,
K. Yu. Midiber,
L. M. Mikhaleva,
A. L. Shestakov https://doi.org/10.17238/2072-3180-2024-4-236-245
Abstract
Introduction. Postoperative hernias of the anterior abdominal wall present the most urgent problem in herniology today. Despite the use of modern techniques, the proportion of relapses is still high, ranging from 6,5 to 31 %. Many researchers suggest that one of the reasons for such a high recurrence rate is disorders in the structure of connective tissue and more and more attention is being paid to connective tissue dysplasia.
The purpose of the study. To update information on the role of connective tissue dysplasia in the formation of hernias of the anterior abdominal wall.
Materials and methods. A review of all available articles published on PubMed, Cochrane and Elibrary in Russian and English, containing the keywords: "collagenopathy", "dysplasia", "hernia", was conducted, as well as analyzed works that have a logical connection between the individual characteristics of connective tissue and the development of hernias of the anterior abdominal wall. A total of 125 literary sources were analyzed, 35 of the most relevant and cited are included in the list of references.
Results. Currently, a significant amount of information has been accumulated on the role of an altered type I/III collagen ratio in the skin and fascia of the anterior abdominal wall in the development (recurrence) of hernias. The analysis of existing methods of phenotypic assessment of nonspecific connective tissue dysplasia has shown the advantage of the technique of N.G. Luzgina and V.A. Shkurupiya for patients with postoperative hernias.
Conclusions. Further studies are needed to assess the effect of nonspecific connective tissue dysplasia on both the genesis of postoperative hernias and the results of surgical treatment using various modern techniques.
About the Authors
A. V. Yurasov
Lomonosov Moscow State University;
Petrovsky National Research Centre of Surgery
Russian Federation
Russian Federation
Yurasov Anatoly Vladimirovich – Doctor of Medical Sciences, Professor of the Department of Traumatology, Orthopedics and Disaster Medicine, 119991, Lomonosovsky ave., 27, building 1. Moscow;
Chief Researcher of the Department of Thoracoabdominal Surgery and Oncology, 119435, Abrikosovsky Lane, 2, Moscow
S. N. Gurin
Petrovsky National Research Centre of Surgery;
Moscow City Clinical Hospital 52 (MCCH52)
Russian Federation
Russian Federation
Gurin Sergey Nikolaevich – post-graduate student, Jr. Researcher at the Department of Thoracoabdominal Surgery and Oncology, 119435, Abrikosovsky Lane, 2, Moscow;
Surgeon of the surgical department No. 1, 123182, Pekhotnaya str., 3, Moscow
R. R. Mudarisov
Moscow City Clinical Hospital 52 (MCCH52)
Russian Federation
Russian Federation
Mudarisov Rinat Rifkatovich – PhD in Medical sciences, chief surgeon,
123182, Pekhotnaya str., 3, Moscow
A. H. Mnoyan
Moscow City Clinical Hospital 52 (MCCH52)
Russian Federation
Russian Federation
Mnoyan Arthur Khachaturovich – Head of the surgical department №1,
123182, Pekhotnaya str., 3, Moscow
K. Yu. Midiber
Avtsyn Research Institute of Human Morphology of FSBSI “Petrovsky National Research Centre of Surgery”;
Patrice Lumumba Peoples’ Friendship University of Russia
Russian Federation
Russian Federation
Konstantin Yurievich Midiber – Cand. Sci. (Med.), Head of the Group of athomorphological and Immunohistochemical Studies, Reference Center for Infectious and Viral Oncopathology, 117418, 3 Tsyurupy str., Moscow;
Assistant, Department of Pathological Anatomy, Medical Institute, 117198, 6 Miklukho-Maklaya str., Moscow
L. M. Mikhaleva
Avtsyn Research Institute of Human Morphology of FSBSI “Petrovsky National Research Centre of Surgery”;
Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Liudmila Mikhailovna Mikhaleva – Dr. Sci. (Med.), Professor, Corresponding Member of the Russian Academy of Sciences, Head of the Laboratory of Clinical Morphology, 117418, 3 Tsyurupy str., Moscow;
Professor of the Department of Pathological Anatomy, 125993, Barricadnaya str., 2/1, building 1, Moscow
A. L. Shestakov
Sechenov Moscow State Medical University of the Ministry of Health of the Russian Federation;
Petrovsky National Research Centre of Surgery
Russian Federation
Russian Federation
Alexey Leonidovich Shestakov – Dr. Sci. (Med.), Professor of the Department of Hospital Surgery No. 2, 119435, Abrikosovsky Lane, 2, Moscow;
Head of the Department of Thoracoabdominal Surgery and Oncology, 119435, Abrikosovsky lane, 2, Moscow
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Review
For citations:
Yurasov A.V., Gurin S.N., Mudarisov R.R., Mnoyan A.H., Midiber K.Yu., Mikhaleva L.M., Shestakov A.L. History of the study of connective tissue dysplasia and its role in the development of postoperative hernias. Moscow Surgical Journal. 2024;(4):236-245. (In Russ.) https://doi.org/10.17238/2072-3180-2024-4-236-245
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