Features of the structure of the aponeurosis of the white line of the abdomen in patients with morbid obesity

Introduction. Morbid obesity is a leading factor in the development of ventral hernias, including hernias of the white line, umbilical and postoperative. This is due to the structural features of the aponeurosis of the white line of the abdomen in patients with morbid obesity, and the predominance of type III collagen over type I collagen. The objective was to develop measures to combat postoperative ventral hernias in patients with morbid obesity Methods and materials. Study and comparison of the structure of the aponeurosis of patients with normal body mass index and morbid obesity. Conclusion. The predominance of type III collagen over type I collagen has been experimentally proven, and therefore – deterioration in the quality of the aponeurosis and an increase in the risk of postoperative ventral hernias in patients of this group. The need for additional strengthening of the suture line has been proven.