METHOD FOR PERFORMING SIMULTANEOUS OPERATIONS: CESAREAN SECTION AND ABDOMINOPLASTY Russian patent published in 2025 - IPC A61B17/00 A61B17/42 

FIELD: medical science.

SUBSTANCE: invention refers to medicine, namely to obstetrics, surgery and plastic surgery. Women are selected with a body weight of no more than 60 kg before pregnancy, diastasis of the rectus abdominis muscles, ptosis of the tissues of the anterior abdominal wall in the form of a displacement of navel from 2 to 5 cm below the level of the line connecting the anterior superior iliac spines, and a pinch test in the navel area of no more than 2 cm during pregnancy. Caesarean section is performed in a combination with an abdominoplasty. It involves transverse laparotomy, retrieval of foetus and placenta, closure of peritoneum, rectus abdominis muscle and aponeurosis. After the aponeurosis is closed, the skin is marked with marking a first point at 6 cm from an anterior commissure of labia majora and a second point at least 5 cm below the navel so that the first and second points are connected when the skin is displaced from the second point in the caudal direction. Lower border of the incision is marked in the form of a curved line so that its middle passes through the first point, and its halves are symmetrical to each other in relation to an abdominal midline and parallel to an inguinal crease of the same side. Length of the line corresponding to the lower boundary of the cut is selected such that equal angles formed by the sections passing from the end of the lower boundary of the cut to the first point and to the second point on each side do not exceed 30 degrees. Skin and subcutaneous fat are incised along a line corresponding to a lower border of the incision. Adipodermal flap is mobilized from the aponeurosis. Diastasis rectus abdominis is eliminated by creating a duplication of the white line in the area between the xiphoid process and the navel. Excess adipodermal flap is excised. Subcutaneous fat and skin are closed along a line corresponding to the lower incision line.

EFFECT: method enables selecting the patients to perform the facilitated abdominoplasty, preventing the progression of ptosis ensured by the accurate measurement of the incised flap for maximum approximation of the wound edges.

2 cl, 2 dwg, 1 ex