persmedРоссийский журнал персонализированной медициныRussian Journal for Personalized Medicine2782-38062782-3814ФОНД АЛМАЗОВА10.18705/2782-3806-2025-5-5-412-419persmed-385Research ArticleХИРУРГИЯSURGERYВозможности и перспективны неоперативного лечения диастаза прямых мышц живота и грыжи белой линии (обзор литературы)Possibilities and prospects of non-surgical treatment of diastasis recti and hernia of the white line (literature review)https://orcid.org/0000-0002-4556-4913СигуаБ. В.SiguaB. V.

Сигуа Бадри Валерьевич — доктор медицинских наук, профессор, заведующий кафедрой общей хирургии Института медицинского образования

Санкт-Петербург

Badri V. Sigua, MD, PhD, DSc, Professor, Head of the Department of General Surgery

St. Petersburg

sigua_bv@almazovcentre.ruhttps://orcid.org/0009-0003-5610-0828ШаталоваА. А.ShatalovaA. A.

Шаталова Анна Александровна — врач-хирург

ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Anna A. Shatalova, MD, Surgeon

2 Akkuratova str., St. Petersburg, 197341

shatalovaann1002@gmail.comhttps://orcid.org/0000-0002-0473-6598ХацимовК. А.KhatsimovK. A.

Хацимов Кантемир Артурович — кандидат медицинских наук, ассистент кафедры общей хирургии, врач-хирург

Санкт-Петербург

Kantemir A. Khatsimov, MD, PhD, Assistant of the Department of General Surgery, Surgeon

St. Petersburg

Xacimov88@yandex.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияFederal State Budgetary Institution “Almazov National Medical Research Centrе” of the Ministry of Health of the Russian FederationRussian Federation20252301202655412419Copyright © Сигуа Б.В., Шаталова А.А., Хацимов К.А., 20262026Сигуа Б.В., Шаталова А.А., Хацимов К.А.Sigua B.V., Shatalova A.A., Khatsimov K.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://persmed.elpub.ru/jour/article/view/385

В настоящее время проблема диастаза прямых мышц живота все активней поднимается в отечественной и мировой литературе. Диастаз прямых мышц живота чаще встречается у женщин фертильного возраста и приводит к снижению качества жизни, к нарушению эстетики, является фактором возникновения грыж белой линии живота. Изолированный диастаз не является абсолютным показанием для хирургического лечения, в связи с чем актуальность исследования неоперативного лечения возрастает. Вопрос изучения неоперативного лечения диастаза, как метода профилактики развития грыж белой линии живота, является приоритетным в развитии герниологии в ближайшие 25 лет. В данном обзоре представлены варианты неоперативного лечения и новый взгляд на проблему консервативного ведения пациентов с диастазом прямых мышц живота.

Currently, the issue of diastasis recti is increasingly being addressed in Russian and international literature. Diastasis recti is most common in women of childbearing age and leads to a reduced quality of life, impaired aesthetic function, and is a factor in the development of linea alba hernias. Isolated diastasis is not an indication for surgical treatment, therefore, the relevance of research into non-surgical treatments is increasing. The study of non-surgical treatment for diastasis as a method for preventing the development of linea alba hernias is a priority in the development of herniology over the next twenty-five years. This review presents non-surgical treatment options and a new approach to the problem of conservative management of patients with diastasis recti.

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The authors declare that there are no conflicts of interest present.