Features of the skin and fascia structure in patients with ventral hernias
Abstract
The peculiarities of collagen structure in the skin and aponeurosis were investigated in patients with and without ventral hernias.
The investigation of collagen fibers presented the heterogeneity of their structure. In each bunch of fibers there were found longitudinal fibrillation. The comparison of the results of aponeurosis architecture investigation in patients with anterior abdominal wall pathology revealed that in the group of patients with ventral hernias collagen fibers are localized in different directions and plans in 42% of all cases, in 53% the collagen fibers were branching in separate thin fibers, in the patients without hernia in 63% of cases interfiber spaces are significantly more in sizes in comparison with the aponeurosis architecture in patients of the group without ventral hernias. The patients with the hernias of the anterior abdominal wall possess lower index of collagen fibers density and interfiber spaces in the skin in comparison with patients without this pathology.
The collagen fibers of aponeurosis in patients with ventral hernias possess more porous structure. This causes weakness of the anterior abdominal wall and leads to hernia defects formation.
About the Authors
S. V. Ivanov
ГБОУ ПО «Курский государственный медицинский университет»
Russian Federation
Russian Federation
G. M. Sukhov
ГБОУ ПО «Курский государственный медицинский университет»
Russian Federation
Russian Federation
I. S. Ivanov
ГБОУ ПО «Курский государственный медицинский университет»
Russian Federation
Russian Federation
A. V. Cukanov
ГБОУ ПО «Курский государственный медицинский университет»
Russian Federation
Russian Federation
G. N. Goryainova
ГБОУ ПО «Курский государственный медицинский университет»
Russian Federation
Russian Federation
E. G. Obyedkov
ГБОУ ПО «Курский государственный медицинский университет»
Russian Federation
Russian Federation
I. A. Ivanova
ГБОУ ПО «Курский государственный медицинский университет»
Russian Federation
Russian Federation
G. N. Gafarov
ГБОУ ПО «Курский государственный медицинский университет»
Russian Federation
Russian Federation
References
1. Bagirova A.R. Aspects of Abdominoplasty / A.R. Bagirova // Surgery. -2001. – № 1. -P. 6466.
2. Bogdanov D. Yu. Comparative characteristics of gernioplastics in postoperative abdominal hernias / D. Yu. Bogdanov, G.M. Rutenburg, M.S. Naurbaev//Endoscop. surgery. -2008. – № 6. P. 3-13.
3. Volnii S.V. Clinical-morphological characteristics of inguinal hernias in the disorders of collagen metabolism:autoref. Diss. Cand./S. Volnii. -М., 2010.
4. Gorski B.A. Methods of hernias prevention after laparoscopic cholecystectomy / B.A. Horsky, M.A. Agapov, E.R. Ovannisyan//Vestn. herniology. -2008. – № 3. -P. 57-61.
5. Methods of large and giant postoperative hernias alloplastics / Yu.V Kuchkin, V.E. Kutukov, A.A. Pecherov, D.Yu. Specht // Herniology. -2005. – № 1. -P. 30-32.
6. Nikitin V.N. The age and evolutionary biochemistry of collagen structures / V.N. Nikitin, E.S. Persky, L.A. Utevskaya. Kiev: Naukova dumka, 1977. -297 p.
7. Pushkin S.Yu. Results of treatment of patients with the median ventral hernia with synthetic implants / S.Yu. Pushkin, V.I. Belokonev // Surgery. N.I. Pirogov. -2010. – № 6. -P. 43-45.
8. Растегаев А.В. Выбор способа устранения послеоперационной вентральной грыжи : автореф. дис. … канд. мед. наук / А.В. Растегаев. – СПб., 2009. – 24 с.
9. Rastegaev A.V. Selection of ways to avoid postoperative ventral hernia: autoref. dis. cand. / А.V. Rastegaev. Spb., 2009. -24 p.
10. Serov V.V. Connective tissue (functional morphology and Pathology) / V.V. Serov, A.B. Schechter. -M.: Medicine, 1981. -312 p.
11. Timoshin A.D. Concept of surgical treatment of postoperative abdominal hernias/A.D. Timoshin, A.V. Yurasov, A.L. Shestakov // Herniology. 2004. – № 1. P. 5-4.
12. Toskin K.D. Treatment of postoperative abdominal hernias with the use of grafts of dura mater/KD Toskin, V.V. Zebrowski//Klinič. surgery. -1979. – № 5. -P. 67.
Review
For citations:
Ivanov S.V., Sukhov G.M., Ivanov I.S., Cukanov A.V., Goryainova G.N., Obyedkov E.G., Ivanova I.A., Gafarov G.N. Features of the skin and fascia structure in patients with ventral hernias. Yakut Medical Journal. 2014;(3):21-24.
Views:
3
Email this article 