Assessment of risk factors for formation of the abdominal white line hernias 

Artem V. Korobov, Postgraduate student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), dr.kav@mail.ru
Konstantin I. Sergatskiy, Doctor of medical sciences, associate professor, professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia),  sergatsky@bk.ru
Elena V. Muromtseva, Postgraduate student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia),  emurom99@mail.ru
Ekaterina V. Titova, Candidate of medical sciences, associate professor, associate professor of the sub-department of surgery, Medical Institute, Penza State University
(40 Krasnaya street, Penza, Russia),  kineta@yandex.ru
Mohammad Aljabr, Postgraduate student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia),  sihamera576@gmail.com

Background. A variety of hernias of the anterior abdominal wall are hernias of the white line of the abdomen, occurring in 0,5% of the adult population. However, highprecision studies aimed at identifying reliable risk factors for this type of hernia have not been conducted. In this regard, the purpose of this study is to evaluate the results of treatment of patients with hernias of the anterior abdominal wall who underwent hernioplasty in order to identify risk factors for the formation of hernias of the white line of the abdomen. Materials and methods. An analysis of the results of treatment of 289 patients with hernias of the anterior abdominal wall in 2019 was carried out. To identify independent risk factors for the formation of hernias of the white line of the abdomen, multiple regression analysis was performed. Results. When analyzing the data of the conducted multiple regression analysis, female sex and diastasis of the white line of the abdomen were noted as independentrisk factors for the formation of hernias of the white line of the abdomen. Conclusions. The female gender increases the likelihood of developing hernias of the white line of the abdomen by 2,451 times (p = 0,047). Diastasis of the rectus abdominis muscles increases the chance of formation of hernias of the linea alba by 27 times (p = 0,002).

hernia of the linea alba, diastasis rectus abdominis, risk factors, hernia disease

Korobov A.V., Sergatskiy K.I., Muromtseva E.V., Titova E.V., Aljabr M. Assessment of risk factors for formation of the abdominal white line hernias. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki = University proceedings. Volga region. Medical sciences. 2023;(3):39–45. (In Russ.). doi: 10.21685/2072-3032-2023-3-5