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Surgical techniques for repair of abdominal rectus diastasis: a scoping review

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Vis graf over relationer

Rectus diastasis is characterized by widening and laxity of the linea alba, causing the abdominal content to bulge. Rectus diastasis is treated either conservatively with physiotherapy, or surgically, surgical treatment showing especially convincing results. The primary aim of this study was to describe surgical techniques used to correct abdominal rectus diastasis. Secondary, we wished to assess postoperative complications in relation to the various techniques. A systematic scoping review was conducted and reported according to the PRISMA-ScR statement. PubMed, Embase, and Cochrane Library were searched systematically. Studies were included if they described a surgical technique used to repair abdominal rectus diastasis, with or without concomitant ventral hernia. Secondary outcomes were recurrence rate and other complications. A total of 61 studies were included: 46 used an open approach and 15 used a laparoscopic approach for repair of the abdominal rectus diastasis. All the included studies used some sort of plication, but various technical modifications were used. The most common surgical technique was classic low abdominoplasty. The plication was done as either a single or a double layer, most commonly with permanent sutures. There were overall low recurrence rates and other complication rates after both the open and the laparoscopic techniques. We identified many techniques for repair of abdominal rectus diastasis. Recurrence rate and other complication rates were in general low. However, there is a lack of high-level evidence and it is not possible to recommend one method over another. Thus, further randomized controlled trials are needed in this area.

OriginalsprogEngelsk
TidsskriftJournal of Plastic Surgery and Hand Surgery
Vol/bind55
Udgave nummer4
Sider (fra-til)195-201
Antal sider7
ISSN2000-656X
DOI
StatusUdgivet - aug. 2021

Bibliografisk note

Publisher Copyright:
© 2021 Acta Chirurgica Scandinavica Society.

Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.

ID: 67644013