Treatment Options for Abdominal Rectus Diastasis
Majken Lyhne Jessen1, Stina Öberg1, Jacob Rosenberg1
1Department of Surgery, Center for Perioperative Optimization, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
Frontiers in Surgery
|December 6, 2019
Summary
Abdominal rectus diastasis treatment is poorly investigated. While physiotherapy lacks evidence, both open and laparoscopic surgery show high success rates for this condition, improving quality of life.
Area of Science:
- General Surgery
- Physiotherapy
- Gastroenterology
Background:
- Abdominal rectus diastasis involves separation of abdominal muscles, often due to pregnancy or weight gain.
- This condition causes bulging, pain, and can negatively impact quality of life.
- Current treatment options, including physiotherapy and surgery, are not well-investigated.
Purpose of the Study:
- To provide an overview of current treatment options for abdominal rectus diastasis.
Main Methods:
- Literature review of existing studies on abdominal rectus diastasis treatments.
- Analysis of conservative (physiotherapy) and surgical (open, laparoscopic) approaches.
Main Results:
- Physiotherapy is the initial treatment, but evidence is limited regarding efficacy and specific regimens.
- Both open and laparoscopic surgical repairs demonstrate high success rates with low complication and recurrence rates.
- Surgical repair can improve associated low back pain, urinary incontinence, and overall quality of life.
Conclusions:
- More research is needed to establish effective conservative treatments for rectus diastasis.
- Open and laparoscopic surgery are effective, with robotic-assisted surgery showing future potential.
- An international guideline could standardize treatment for rectus diastasis.
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