Mini-invasive surgery for diastasis recti: an overview on different approaches

Area of Science:

• Abdominal Wall Surgery
• Minimally Invasive Procedures
• Gastrointestinal Surgery

Background:

• Diastasis recti abdominis (DRA) involves separation of abdominal muscles, often post-pregnancy, leading to functional impairments like incontinence and pain.
• DRA can be associated with ventral midline hernias, necessitating surgical intervention for midline restoration and hernia repair.

Purpose of the Study:

• To provide an overview of various surgical techniques for diastasis recti abdominis.
• To compare pre-aponeurotic, retro-muscular, and pre-peritoneal approaches for DRA and hernia repair.
• To discuss the potential of robotic surgery in treating DRA.

Main Methods:

• Review of existing literature on surgical management of diastasis recti abdominis.
• Categorization of techniques into pre-aponeurotic, retro-muscular, and pre-peritoneal approaches.
• Analysis of features, outcomes, and emerging robotic applications.

Main Results:

• Multiple mini-invasive surgical techniques exist for DRA, with ongoing debate regarding optimal choices.
• Different surgical approaches offer varied outcomes for midline restoration and hernia repair.
• Robotic surgery presents a novel avenue for executing established DRA techniques.

Conclusions:

• The optimal surgical approach for diastasis recti abdominis and associated hernias requires further evidence.
• Understanding the nuances of different surgical categories is crucial for patient selection.
• Robotic advancements may enhance precision and outcomes in DRA surgery.