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Published on: September 11, 2021
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Diastasis recti repair with onlay mesh.
1VCU College of Medicine-Inova Branch, National Center for Plastic Surgery, 7601 Lewinsville Rd # 400, McLean, VA, 22102, USA. DrNahabedian@aol.com.
Summary
Onlay mesh repair is a successful surgical option for severe diastasis recti, reinforcing the anterior rectus sheath. This method showed no complications in a small patient group, establishing a natural abdominal contour.
Area of Science:
- Surgical innovation in abdominal wall reconstruction.
Background:
- Diastasis recti is an anterior abdominal wall abnormality due to linea alba attenuation.
- Severe diastasis recti involves attenuation of both linea alba and linea semilunaris.
- Treatment options range from exercises to surgical repair, with or without mesh.
Purpose of the Study:
- To review the indications and technique of onlay mesh for severe diastasis recti correction.
- To evaluate the safety and efficacy of onlay mesh in abdominoplasty with diastasis repair.
Main Methods:
- A retrospective review of 63 women undergoing abdominoplasty with diastasis repair (Jan 2010-Jan 2020).
- Focus on 4 patients with severe diastasis treated with plication and onlay mesh (polypropylene or silk).
- Indications for mesh included severe diastasis requiring anterior rectus sheath reinforcement.
Main Results:
- All 4 patients tolerated the onlay mesh procedure well, with no reported morbidity.
- Successful restoration of natural abdominal contour was achieved in all patients.
- No instances of infection, seroma, delayed healing, or mesh removal were observed; drains removed within 7 days.
Conclusions:
- Onlay mesh demonstrated success in surgical management of severe diastasis recti.
- This technique should be considered for select patients requiring enhanced anterior rectus sheath strength.
