Minimally invasive methods of reconstruction of the anterior abdominal wall in the treatment of diastasis recti and hernias of the white line. Literature review

Today, the world literature notes the actualization of the problem of diastasis recti abdominis (DRA). If earlier it was believed that diastasis is just an aesthetic problem, today many works have been published indicating that DRA significantly reduces the quality of life of patients and is a risk factor for the occurrence of hernias of the anterior abdominal wall, which makes the topic a relevant subject for study. A search and analysis of literary sources in the abstract databases PubMed, eLibrary, etс. for the past 10 years was conducted, more than 40 scientific publications were studied. Based on the analysis, the results and technical features of various minimally invasive methods for correcting DRA, as well as hernias of the linea alba, were studied, statistical data were assessed, and advantages over open treatment techniques were identified and described. Based on the conducted scientific research, it can be concluded that the combination of DPM with hernias of the white line of the abdomen is a fairly common problem, while the fact of the presence of a hernia should mainly determine the tactics of surgical treatment, namely the choice of surgical technique aimed at one-stage elimination of the hernia and correction of diastasis. Among the considered surgical techniques, surgical interventions from a mini-access with endoscopic assistance are the safest and most effective in comparison with open techniques due to a more pronounced cosmetic effect, a decrease in postoperative pain syndrome, as well as an acceleration of the rehabilitation period for patients.