Novel approach to the formation of the navel during abdominoplasty with suturing of diastasis and hernioplasty

Abstract

The aim of the study: to improve the results of abdominoplasty in patients with diastasis of the rectus abdominis and umbilical hernia. Materials and methods: the study included 31 patients, 17 of them underwent abdominoplasty with suturing of the rectus abdominis diastasis, 14 women underwent suturing of the rectus abdominis diastasis and hernioplasty. The proposed method was used to form a neo-navel in all patients (RF patent 2749475 of 11.06.21).Results: In women with di astasis of the rectus abdominis muscles, an umbilical hernia was diagnosed in 45.2 % of cases. 17 patients underwent abdominoplasty with suturing of the diastasis of the rectus abdominis and 14 patients had abdominoplasty, suturing of the diastasis of the rectus abdominis and hernioplasty according to the novel technique. (RF patent 2749475 of 11.06.21). The proposed method of abdominoplasty, which includes suturing of the diastasis of the rectus abdominis and hernioplasty, resulted in a significant improvement in the quality of life of women who underwent the surgery. According to the EuraHSQoL questionnaire, 94 % of respondents reported a statistically significant improvement in physical activity, functional state of the anterior abdominal wall, and aesthetic appearance of the abdomen. Conclusion: a study of the long-term results of using the novel technique showed that no relapses of the diastasis of the rectus abdominis and umbilical hernia were 14 detected during 5 years of observation. When assessing the quality of life according to the EuraHSQol questionnaire, 93.4 % of respondents noted good results in the first year, and 90 % of respondents in the fifth year following the operation.