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A Proposed Classification and Treatment Algorithm for Rectus Diastasis: A Prospective Study
Evangelos Keramidas1, Stavroula Rodopoulou2, Maria-Ioanna Gavala2
1Kosmesis Aesthetic Plastic Surgery Center, Central Clinic of Athens, Ethnikis Antistaseos 9-11, Chalandri, 15232, Athens, Greece. plastker@yahoo.com.
Aesthetic Plastic Surgery
|January 19, 2022
Summary
This study introduces a new classification and treatment for Rectus diastasis (RD) during abdominoplasty, showing safe and effective results with high patient satisfaction and minimal recurrence.
Area of Science:
- Plastic Surgery
- Abdominoplasty Techniques
- Surgical Classification Systems
Background:
- Rectus diastasis (RD) is a common condition addressed during abdominoplasty.
- Standardized classification and treatment protocols for RD are crucial for optimal outcomes.
Purpose of the Study:
- To present an updated classification system for Rectus diastasis (RD).
- To describe a standardized treatment protocol for RD during abdominoplasty.
- To evaluate the safety, efficacy, and aesthetic outcomes of the proposed method.
Main Methods:
- A cohort of 167 patients undergoing abdominoplasty was analyzed.
- A four-type classification system (mild to very severe) for RD was developed.
- Tailored surgical techniques using absorbable sutures were applied based on RD type.
- Postoperative outcomes including pain, activity return, complications, and aesthetic results were assessed over a minimum 24-month follow-up.
Main Results:
- The study classified RD into four types (A-D) based on width.
- All RD types demonstrated a low complication profile (seroma 0.81%, infection 0.81%).
- No clinical recurrence of RD was observed after 2-6 years; reoperations were mainly for scar deformities.
- Patients reported low pain levels and returned to activities within a week, with high satisfaction.
Conclusions:
- The presented classification system and treatment protocol offer a safe and standardized approach for managing Rectus diastasis during abdominoplasty.
- This method leads to high-quality aesthetic results and patient satisfaction with minimal recurrence.
