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Diastasis recti repair with onlay mesh

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Abstract

Introduction

Diastasis recti represents a midline contour abnormality of the anterior abdominal wall that is secondary to attenuation of the linea alba. Severe diastasis recti is defined as attenuation of the linea alba as well as the linea semilunaris. Treatment options are variable and include conditioning exercises and surgical repair with or without mesh. This manuscript will review the indications and technique of onlay mesh for correction of severe diastasis recti.

Methods

Abdominoplasty with diastasis repair has been performed in 63 women from January 2010 to January 2020. Of these, 4 had repair for severe diastasis that included plication and onlay mesh. The mesh was polypropylene in 3 patients and silk in 1 patient. Indications for onlay mesh included severe diastasis as a means of further reinforcing the strength of the anterior rectus sheath.

Results

Of the 4 patients, all tolerated the operation well without morbidity. Natural contour was established in all. There were no infections, seromas, delayed healing or mesh removals. All drains were removed by 7 days.

Conclusion

The use of an onlay mesh has demonstrated success and should be considered in select patients for the surgical management of severe diastasis.

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Authors and Affiliations

  1. VCU College of Medicine-Inova Branch, National Center for Plastic Surgery, 7601 Lewinsville Rd # 400, McLean, VA, 22102, USA

    M. Y. Nahabedian

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  1. M. Y. Nahabedian
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Correspondence to M. Y. Nahabedian.

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Conflict of interest

Dr. Nahabedian is a consultant for Allergan and Stryker. No support was obtained in preparation of this manuscript.

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This manuscript was prpeared in complicance with the Helsinki doctrine.

Human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained for the surgical procedure prior to their participation.

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Nahabedian, M.Y. Diastasis recti repair with onlay mesh. Hernia 25, 855–862 (2021). https://doi.org/10.1007/s10029-021-02464-y

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  • DOI: https://doi.org/10.1007/s10029-021-02464-y

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