Methods of restoring the white line of the abdomen during abdominoplasty (advantages and disadvantages)

Introduction. The pathology of the muscular-aponeurotic apparatus of the anterior abdominal wall is progressively increasing. Despite the significant prevalence of this pathology among men and women, accurate statistical data do not exist. This is partly due to the fact that rectus muscle diastasis is not considered a true hernia. In plastic surgery, the restoration of the white line during abdominoplasty is one of the primary tasks. The purpose of the work: based on the data from clinical studies, to consider the disadvantages and advantages of various methods of diastasis of the rectus abdominis during abdominoplasty. Materials and methods. The retrospective single-center study included 63 patients who underwent abdominoplasty to eliminate diastasis of the rectus abdominis at the clinical base of the Krasnoyarsk State Medical University named after Prof. V. F. Voino-Yasenetsky of the Ministry of Health of the Russian Federation from 2021 to 2024. Results. Depending on the method of correction of breast cancer, the time spent on the operation varied. The most time-consuming operation was abdominoplasty with implantation of a fixed mesh endoprosthesis. The number of postoperative complications is the same in groups 1 and 3. However, in group 1, eruption of sutures naturally prevails. The number of gray is higher in the 2nd group. In group 3, 2 patients had partial dislocation of the mesh implant. Two clinical cases are given as an illustration. Discussion. Suturing the diastasis with a wrapping suture reduces the risk of developing hematomas, seromas, and suppuration of the postoperative wound. Mesh prosthetic surgery increases the percentage of hematomas and gray matter. Plastic surgery with a mesh prosthesis without fixation significantly reduces the level of pain, but it is dangerous to dislocate the implant. Conclusion. Each of the considered methods of breast plastic surgery has both advantages and disadvantages. The choice of method should be justified individually, taking into account all the data of the patient's preoperative examination.