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Laparoscopic repair of diastasis recti using the ‘Venetian blinds’ technique of plication with prosthetic reinforcement: a retrospective study

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Abstract

Background

Diastasis is a separation of the two recti due to various reasons, and can be measured as the ‘inter-recti distance’ (IRD). Surgery for diastasis is controversial, while laparoscopic repair has rarely been reported. We describe our method of laparoscopic plication—the ‘Venetian blinds’ technique combined with mesh reinforcement for patients with diastasis of the recti.

Materials and methods

A total of 18 patients out of 35 that presented to us were operated. The common indications were cosmesis and discomfort while performing normal activities. Laparoscopic plication with the ‘Venetian blinds’ technique of the diastasis with prosthetic reinforcement was performed for all cases.

Results

The mean body mass index (BMI) was 28.6 kg/m2 (range 25–32.2) and obese patients had a larger IRD. The mean operating time was 113 min (range 72–154). Minor complications were present in five (27.77%) patients. The recurrence rate after 6–48 months follow up was 0% in this series.

Discussion

Even though surgery for diastasis is controversial, we advocate repair for cosmesis and restoring function of the recti muscles. Our ‘Venetian blinds’ technique provides a solid repair and reduces the risk of seroma. The use of a prosthesis for the repair is mandatory to prevent recurrence. The adequacy of repair was assessed by measuring the IRD preoperatively and postoperatively with computed tomography (CT) scan. Laparoscopy provides all of the benefits of minimal access surgery.

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References

  1. Gilleard WL, Brown JMM (1996) Structure and function of the abdominal muscles in primigravid subjects during pregnancy and the immediate postbirth period. Phys Ther 76:750–752

    PubMed  CAS  Google Scholar 

  2. Boissonnault JS, Blaschak MJ (1988) Incidence of diastasis recti abdominis during the childbearing year. Phys Ther 68:1082–1086

    PubMed  CAS  Google Scholar 

  3. Bursch SG (1987) Interrater reliability of diastasis recti abdominis measurement. Phys Ther 67:1077–1079

    PubMed  CAS  Google Scholar 

  4. Lockwood T (1998) Rectus muscle diastasis in males: primary indication for endoscopically assisted abdominoplasty. Plast Reconstr Surg 101:1685–1691

    Article  PubMed  CAS  Google Scholar 

  5. Nahas FX (2001) An aesthetic classification of the abdomen based on the myoaponeurotic layer. Plast Reconstr Surg 108(6):1787–1795; discussion 1796–1797

    Article  PubMed  CAS  Google Scholar 

  6. Nahas FX, Ferreira LM, Augusto SM, Ghelfond C (2005) Long-term follow-up of correction of rectus diastasis. Plast Reconstr Surg 115(6):1736–1741

    Article  PubMed  CAS  Google Scholar 

  7. Nahas FX, Augusto SM, Ghelfond C (1997) Should diastasis recti be corrected? Aesthetic Plast Surg 21(4):285–289

    Article  PubMed  CAS  Google Scholar 

  8. Flament JB, Palot JP, Lubrano D, Levy-Chazal N, Concé JP, Marcus C (2002) Retromuscular prosthetic repair: experience from France. Chirurg 73(10):1053–1058

    Article  PubMed  CAS  Google Scholar 

  9. Gireev GI, Zagirov UZ, Shakhnazarov AM (1997) Treatment of linea alba hernia and diastasis of rectus abdominis. Khirurgiia 7:58–61

    PubMed  Google Scholar 

  10. Ramirez OM (2000) Abdominoplasty and abdominal wall rehabilitation: a comprehensive approach. Plast Reconstr Surg 105(1):425–435

    Article  PubMed  CAS  Google Scholar 

  11. Nahas FX, Ferreira LM, Mendes Jde A (2004) An efficient way to correct recurrent rectus diastasis. Aesthetic Plast Surg 28(4):189–196

    Article  PubMed  Google Scholar 

  12. Corrêa FMA (1995) Videoendoscopic subcutaneous techniques for aesthetic and reconstructive plastic surgery. Plast Reconstr Surg 96:446–453

    Article  PubMed  Google Scholar 

  13. Core GB, Mizgala CL, Bowen JC 3rd, Vasconez LO (1995) Endoscopic abdominoplasty with repair of diastasis recti and abdominal wall hernia. Clin Plast Surg 22:707–722

    PubMed  CAS  Google Scholar 

  14. Champault G, Catheline JM, Barrat C (1998) Video-parietoscopic surgery of the abdominal wall. A study of 15 cases. Chirurgie 123(5):474–477

    Article  PubMed  CAS  Google Scholar 

  15. Chelala E, Gaede F, Douillez V, Dessily M, Alle JL (2003) The suturing concept for laparoscopic mesh fixation in ventral and incisional hernias: preliminary results. Hernia 7:191–196

    PubMed  CAS  Google Scholar 

  16. Palanivelu C, Jani KV, Senthilnathan P, Parthasarathi R, Madhankumar MV, Malladi VK (2007) Laparoscopic sutured closure with mesh reinforcement of incisional hernias. Hernia 11(3):223–228

    Article  PubMed  CAS  Google Scholar 

  17. van Uchelen JH, Kon M, Werker PM (2001) The long-term durability of plication of the anterior rectus sheath assessed by ultrasonography. Plast Reconstr Surg 107(6):1578–1584

    Article  PubMed  Google Scholar 

  18. Wechsler RJ, Kurtz AB, Needleman L, Dick BW, Feld RI, Hilpert PL, Blum L (1989) Cross-sectional imaging of abdominal wall hernias. AJR Am J Roentgenol 153:517–521

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. GEM Hospital and Postgraduate Institute, 45-A, Pankaja Mill Road, Ramnathapuram, Coimbatore, 641045, India

    C. Palanivelu, M. Rangarajan, P. A. Jategaonkar, V. Amar, K. S. Gokul & B. Srikanth

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  1. C. Palanivelu
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  2. M. Rangarajan
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  3. P. A. Jategaonkar
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  4. V. Amar
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  5. K. S. Gokul
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  6. B. Srikanth
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Correspondence to C. Palanivelu.

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Palanivelu, C., Rangarajan, M., Jategaonkar, P.A. et al. Laparoscopic repair of diastasis recti using the ‘Venetian blinds’ technique of plication with prosthetic reinforcement: a retrospective study. Hernia 13, 287–292 (2009). https://doi.org/10.1007/s10029-008-0464-z

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  • DOI: https://doi.org/10.1007/s10029-008-0464-z

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