Historical aspects of the development of methods of «strengthening» aponeurosis in abdominoplasty

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.