Email this article SURGICAL ANATOMY OF THE INTERCOSTAL NERVES IN THE AREA OF THE LATERAL MARGIN OF THE RECTUS ABDOMINIS MUSCLE
- Authors: Chernykh A.V.1, Zakurdayev Y.I.1, Yakusheva N.V.1, Zakurdayeva M.P.1
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Affiliations:
- N. N. Burdenko Voronezh State Medical University
- Issue: Vol 153, No 2 (2018)
- Pages: 14-18
- Section: Articles
- URL: https://j-morphology.com/1026-3543/article/view/398218
- DOI: https://doi.org/10.17816/morph.398218
- ID: 398218
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Abstract
Objective - to study the characteristics of the intercostal nerves in the area of the lateral margin of rectus abdominis muscle. Materials and methods. Unfixed cadavers of 88 individuals both sexes without signs of anterior abdominal wall pathology were studied. Among them 45 % were cadavers of men (average age is 53.8±11.9 years) and 55 % of women (51.9±13.2 years). The number of intercostal nerves in the area of lateral margin of aponeurotic sheath of the rectus abdominis muscle was determined, the variants of penetration of intercostal nerves into rectus abdominis muscle were studied, and the distance from the external edge of the rectus abdominis muscle to the point of nerve penetration into its depth was measured. Results. In autopsy material studied, the number of intercostal nerves in the area of rectus abdominis muscle varied from 5 to 7, most frequently being 6 (in 70 %). The occurrence of 5 intercostal nerves was observed significantly more often in men (67 %), while 7 intercostal nerves were more common in women (64 %), and the 6 intercostal nerves were detected almost equally often in both sexes. Besides, posterior (63 %) and lateral (37 %) variants of penetration of the intercostal nerves in the rectus abdominis muscle were found. Posterior variant was significantly more frequently observed in women (69 %), while lateral variant - in men (70 %). The distance between lateral edge of the rectus abdominis muscle and the point of intercostal nerve penetration varied from 1.0 to 4.5 cm and was 3.2±0.4 cm on average. Maximal values of this parameter were observed in the upper area of the anterior abdominal wall and among women. Conclusion. The new data on the surgical anatomy of intercostal nerves in the area of the lateral margin of the rectus abdominis muscle should be considered during the plastic operations for incisional hernia repair.
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About the authors
A. V. Chernykh
N. N. Burdenko Voronezh State Medical UniversityDepartment of Operative Surgery with Topographic Anatomy 10 Studencheskaya Str., Voronezh 394036
Ye. I. Zakurdayev
N. N. Burdenko Voronezh State Medical University
Email: ezakurdaev@yandex.ru
Department of Operative Surgery with Topographic Anatomy 10 Studencheskaya Str., Voronezh 394036
N. V. Yakusheva
N. N. Burdenko Voronezh State Medical UniversityDepartment of Operative Surgery with Topographic Anatomy 10 Studencheskaya Str., Voronezh 394036
M. P. Zakurdayeva
N. N. Burdenko Voronezh State Medical UniversityDepartment of Operative Surgery with Topographic Anatomy 10 Studencheskaya Str., Voronezh 394036
References
- Воскресенский Н. В., Горелик С. В. Хирургия грыж брюшной стенки. М.: Медицина, 1965. 201 с.
- Жебровский В. В., Эльбашир М. Т. Хирургия грыж живота и эвентраций. Симферополь, Бизнес-Информ, 2002. 438 c.
- Лаврова Т. Ф. Клиническая анатомия и грыжи передней брюшной стенки. М.: Медицина, 1979. 104 с.
- Никитюк Д. Б., Николенко В. Н., Хайруллин Р. М., Миннибаев Т. Ш., Чава С. В., Алексеева Н. Т. Антропометрический метод и клиническая медицина // Журнал анатомии и гистопатологии. 2013. Т. 2, № 2. С. 10-14.
- Паршиков В. В., Ходак В. А., Петров В. В. и др. Ретромускулярная пластика брюшной стенки сеткой // Фундаментальные исследования. 2012. № 7. С. 159-163.
- Скипидарников А. А., Бежин А. И., Нетяга А. А., Скипидарникова А. Н. Особенности иннервации прямых мышц живота у людей с различными типами телосложения // Курский научно-практический вестник «Человек и его здоровье». 2013. № 1. С. 21-26.
- Черных А. В., Любых Е. Н., Закурдаев Е. И. Новые данные по типовой и вариантной анатомии пахового промежутка // Вестник экспериментальной и клинической хирургии. 2015. Т. 8, № 1. С. 11-20.
- Anita S., Haque M., Gupta A., Nasar A. Variation in Tendinous Intersections of Rectus Abdominis Muscle in North Indian Population with Clinical Implications // J. Clin. Diagn. Res. 2015. Vol. 9, № 6. P. 10-12.
- Gutarra F., Asensio J. R. Dicledmyofascial oblique rectus abdominis flap technique // Plast. Reconstr. Aesthet. Surg. 2009. Vol. 62. Р. 1490-1496.
- Meenakshi S., Manjunath K. Y. The tendinous intersection of rectus abdomines muscle // Journal of Mahatma Gandhi Institute of Medical Sciences. 2008. Vol. 13, № 1. P. 34-39.
- Moore M., Bax T., Mc Farlane M., Mc Nevin M. S. Outcomes of the fascial component separation technique with synthetic mesh rein-forcement for repair of complex ventral incisional hernias in the morbidly obese // Am. J. Surg. 2008. Vol. 195, № 5. Р. 575-579.
- Mori H., Akita K., Hata Y. Anatomical study of innervated transverse rectus abdominis musculocutaneous and deep inferior epigastric perforator flaps // Surg. Radiol. Anat. 2007. Vol. 29. P. 149-154.
- Suh H. S., Eom J. S., Lee T. J. Anatomical location of the tendinous intersections of the rectus abdominis muscle in Korean women // J. Korean. Soc. Plast. Reconstr. Surg. 2006. Vol. 33, № 4. P. 469-470.
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).