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Diastasis recti and umbilical hernia causes, recognition and repair
1USD School of Medicine, Yankton.
South Dakota Journal of Medicine
|October 1, 1990
Summary
This study examined diastasis recti in 1738 women undergoing hysterectomy, finding varying degrees of the condition. Surgical repair improved abdominal wall function and patient satisfaction.
Area of Science:
- Gynecologic surgery
- Abdominal wall reconstruction
Background:
- Diastasis recti, a separation of abdominal muscles, is common in parous women.
- Umbilical hernias can coexist with diastasis recti.
Purpose of the Study:
- To document the prevalence of diastasis recti and umbilical hernias in women requiring abdominal hysterectomy.
- To discuss methods for recognizing and repairing these conditions.
Main Methods:
- Retrospective review of 1738 parous women undergoing abdominal hysterectomy.
- Documentation of diastasis recti severity (mild, moderate, severe) and presence of umbilical hernias.
- Diagrammatic representation and discussion of surgical repair techniques.
Main Results:
- 553 women had mild, 108 moderate, and 12 severe diastasis recti.
- 97 women had umbilical hernias.
- Patients reported significant postoperative improvement in abdominal wall firmness and function.
Conclusions:
- Effective methods for recognizing and repairing diastasis recti exist.
- Surgical intervention for diastasis recti and associated hernias can enhance patient outcomes and satisfaction.
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