FEATURES OF LAPAROSCOPIC ALOPLASTY OF UMBILICAL HERNIAS COMBINED WITH DIASTASIS OF THE RECTAL MUSCLES

In the structure of external abdominal hernias, the incidence of umbilical hernias is 8-19% and takes second place after inguinal hernias, and in 60% of cases, there is a combination of them with diastase of the rectus abdominis. The use of mesh implants for the surgical treatment of umbilical hernias with diastase of the rectus abdominis improves postoperative results. At the same time, the recurrence rate remains high at 10- 15%. The main causes of recurrence of umbilical hernias associated with diastase of the rectus abdominis are insufficient or incomplete elimination of diastase of the rectus abdominis in alloplasty of umbilical hernias. Purpose. To increase the effectiveness of surgical treatment of umbilical hernias associated with diastase of the rectus abdomini