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Case Reports
. 2019 Sep 15;22(3):127-130.
doi: 10.7602/jmis.2019.22.3.127.

Laparoscopic Repair of Diastasis Recti: A Case Report and Literature Review

Woohyung Lee  1   2 , Jin-Kyu Cho  1 , Jae Yool Jang  1 , Soon-Chan Hong  1 , Chi-Young Jeong  1
Affiliations
Case Reports

Laparoscopic Repair of Diastasis Recti: A Case Report and Literature Review

Woohyung Lee et al. J Minim Invasive Surg. .

Abstract

Diastasis recti is a state with separated aponeurosis between two recti caused by weakening of the intercrossing fibers in the linea alba and it causes abdominal protrusion. Common causes comprised of increased intraabdominal pressure, or congenital weakening of myoaponeurotic layer. We describe a patient who underwent laparoscopic repair of diastasis recti. A 30-year-old woman was referred to our outpatient department for an abdominal mass that had appeared 1 year earlier. Physical examination revealed an abdominal wall defect along the midline and computed tomography showed thinning and stretching of the linea alba. The patient underwent laparoscopic repair for diastasis recti. The stretched linea alba was approximated using interrupted sutures from the epigastrium to the suprapubic area. A dual mesh was applied below the peritoneum to prevent recurrence. The patient was discharged without complications, and was followed up for 1 year without recurrence. Laparoscopic repair could be a considerable is a treatment modality for diastasis recti.

Keywords: Diastasis recti; Laparoscopy; Linea alba; Repair.

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Conflict of interest statement

CONFLICT OF INTEREST None.

Figures

Fig. 1
Fig. 1
Abdominal computed tomography revealed thinning and stretching of the linea alba. The inter-recti distance was 6 cm. (A) Axial view, (B) coronal view.
Fig. 2
Fig. 2
The operator was stood at the left side of the patients. The separated rectus muscle and linea alba were sutured in each side using 1-0 absorbable thread (A, B) and approximated from the epigastrium to the suprapubic area (C, D).
Fig. 3
Fig. 3
A dual mesh was attached to the peritoneum to prevent recurrence. Before inserting the dual mesh, non-absorbable monofilament sutures were applied along each edge of the mesh (A). Each thread was retrieved through different holes using a Carter–Thomason needle and was tied below the skin (B, C). A laparoscopic tacker was applied among the suture line (D).
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