alexa Laparoscopic plication and mesh repair for diastasis recti: A case series


Journal of Medical Implants & Surgery

Author(s): Manash Ranjan Sahoo, Kumar AT

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Introduction: Diastasis recti is a disorder defined as a separation of the rectus abdominis muscle into right and left halves which occurs principally in newborns and pregnant women. Reports on laparoscopic repair are rare. Usually, the patients themselves request treatment. We here present a series of three patients who underwent laparoscopic repair for diastasis recti. Case Series: Three patients, all female, presented with something bulging out of the abdomen with no other symptoms. All were multiparous. Laparoscopically, linea alba was plicated in the midline after taking simple horizontal sutures all along the defect from xiphisternum to just below umbilical region creating a neo-linea alba. Then a tissue separating mesh was used to reinforce the plication either using tackers or transfascial sutures. Postoperatively, there was significant decrease in abdominal girth and patients complained of pain which decreased in 3–4 days and tightness in the abdomen which gradually reduced with time after discharge. Conclusion: Laparoscopic plication of linea alba and placement of prosthetic mesh is very promising, safe operation for diastasis recti and could be the future for treatment of the same.

This article was published in International Journal of Case Reports and Images and referenced in Journal of Medical Implants & Surgery

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