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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Rectus diastasis corrected with absorbable suture: a long-term evaluation.

Fabio Xerfan Nahas1, Lydia Masako Ferreira, Pedro Bins Ely

  • 1Disciplina de Cirurgia Plástica, Federal University of São Paulo/EPM, Rua Napoleão de Barros, 715 - 4º. Andar, 04024-002 São Paulo, SP, Brazil. fabionahas@uol.com.br

Aesthetic Plastic Surgery
|November 26, 2010
PubMed
Summary
This summary is machine-generated.

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Correction of rectus diastasis (RD) using absorbable sutures during abdominoplasty provides long-lasting results. This study found no recurrence of RD in patients up to 48 months post-surgery, indicating a durable solution for abdominal wall reconstruction.

Area of Science:

  • Plastic Surgery
  • Abdominal Wall Reconstruction
  • Surgical Techniques

Background:

  • Rectus diastasis (RD) is commonly corrected during abdominoplasty.
  • Evaluating long-term outcomes of RD repair with absorbable sutures is crucial.

Purpose of the Study:

  • To assess the long-term efficacy of rectus diastasis correction using absorbable polydioxanone (PDS) sutures in the anterior rectus sheath.

Main Methods:

  • 12 women with type A musculoaponeurotic deformity underwent abdominoplasty.
  • Rectus diastasis was measured preoperatively and postoperatively using CT scans and dynamometry.
  • Anterior rectus sheath plication was performed with a double-layer 0-PDS suture.

Main Results:

  • Immediate postoperative CT scans confirmed successful RD correction.

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  • No recurrence of rectus diastasis was observed in any patient during long-term follow-up (32-48 months).
  • This was despite variations in abdominal wall resistance and an average weight gain of 4.5 kg.

    • Conclusions:

    • Anterior rectus sheath plication with PDS suture is an effective and durable method for correcting rectus diastasis.
    • The use of absorbable sutures for RD correction demonstrates long-lasting results in abdominoplasty.