A Systematic Review on the outcomes of Correction of Diastasis of the Recti

Author(s): Hickey F, Finch JG, Khanna A

Abstract

Purpose: Diastasis or divarication of the rectus abdominus muscles describes the separation of the recti, usually as a result of the linea alba thinning and stretching. This review examines whether divaricated recti should be repaired and tries to establish if the inherent co-morbidity associated with surgical correction outweighs the benefits derived.

Methods: EMBASE, MEDLINE and the Cochrane library were searched for ('divarication' OR 'diastasis') AND ('recti' OR 'rectus'). A standard data extraction form was used to extract data from each text. Due to the lack of randomised control trials, meta-analysis was not possible.

Results: Seven studies report that patient satisfaction was high following surgery. The most common complication seen was the development of a seroma. Other common complications included haematomas, minor skin necrosis, wound infections, dehiscence, post-operative pain, nerve damage and recurrence, the rate of which may be as high as 40%.

Conclusions: Further studies are required to compare laparoscopic and open abdominoplasty techniques. Patients and physicians should be advised that correction is largely cosmetic, and although divarications may be unsightly they do not carry the same risks of actual herniation. Progressive techniques have resulted in risk reduction with no associated surgical mortality. However, the outcomes may be imperfect, with unsightly scarring, local sepsis and the possibility of recurrence.

Similar Articles

Diastasis Recti: Clinical Anatomy

Author(s): Brauman D

Rectus Abdominis Diastasis

Author(s): Akram J, Matzen SH

Long-term follow-up of correction of rectus diastasis

Author(s): Nahas FX, Ferreira LM, Augusto SM, Ghelfond C

Postpartum characteristics of rectus abdominis on ultrasound imaging

Author(s): Coldron Y, Stokes MJ, Newham DJ, Cook K

Randomized clinical trial of non-mesh versus mesh repair of primary inguinal hernia

Author(s): Vrijland WW, Van den Tol MP, Luijendijk RW, Hop WC, Busschbach JJ, et al.

The argument for lightweight polypropylene mesh in hernia repair

Author(s): Cobb WS, Kercher KW, Heniford BT

Plicature of abdominoplasties with Marlex mesh

Author(s): Marques A, Brenda E, Pereira MD, De castro M, Abramo AC

Reply

Author(s): Brauman D

An efficient way to correct recurrent rectus diastasis

Author(s): Nahas FX, Ferreira LM, Mendes Jde A

Abdominaldermolipectomies: early postoperative complications and long-term unfavorable results

Author(s): Chaouat M, Levan P, Lalanne B, Buisson T, Nicolau P, et al.

Wound complications of abdominoplasty in obese patients

Author(s): Vastine VL, Morgan RF, Williams GS, Gampper TJ, Drake DB,et al.