– Rectus diastasis is an acquired condition in which the rectus muscles are separated by an abnormal distance along their length, but with no fascial defect. The classical performed by laparotomy is very invasive for the patient it comes with all complications of this type of surgery.
– The classical diastasis treatment performed by laparotomy is very invasive for the patient it comes with all complications of this type of surgery. Due to the minimally invasive technique the complications related to this approach are less important than in open surgery.
– Rectus abdominis separation is more predominant in the supra-umbilical region and can be linked to the patient’s age as well as and body mass index. Increased intraabdominal pressure causes tissue expansion of the abdominal wall, particularly at the linea alba. Certain conditions (such as genetic predisposition or chronic obstructive pulmonary disease) increase the risk of developing rectus diastasis. Most women develop rectus diastasis after pregnancy, particularly those involving multiple gestations or sequential large infants.
– The aponeurosis it’s approximate using resorbable sutures. By the same skin incision is possible to perform one suture on the cranial side and one on the caudal side. Using the same technique, the entire length of the aponeurosis it’s approximate.
– Due to the intraabdominal position of the mesh, a special mesh with a non-adherent side must be placed. The size of the mesh corresponds to the length of the diastasis approximation. The fixation of the mesh to the posterior side of the abdominal wall is performed with absorbable tacks.