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Rectus Diastasis With Midline Hernias: Abdominal Wall Reconstruction With Autologous Tissue
Tiran Zhang1, Liqiang Liu1, Zilong Cao1
1From the Urogenital and Gender-affirming Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Plastic and Reconstructive Surgery. Global Open
|June 19, 2026
Summary
This study presents an autologous tissue technique for abdominal wall reconstruction in patients with ventral hernias and severe rectus diastasis. The method uses dermal grafts to reinforce repairs, showing effective functional and aesthetic outcomes with low recurrence risk.
Area of Science:
- Plastic Surgery
- Abdominal Wall Reconstruction
Background:
- Ventral hernias with rectus diastasis require surgical repair to restore abdominal wall anatomy and minimize recurrence.
- Recurrence remains a significant challenge despite various surgical techniques.
Purpose of the Study:
- To present the authors' experience with abdominal wall reconstruction using autologous tissue for midline hernias with severe rectus diastasis (>5 cm).
- To evaluate the efficacy and outcomes of this reconstructive technique.
Main Methods:
- Performed abdominoplasty with rectus abdominis muscle plication.
- Processed excised tissue into de-epithelialized dermal graft sheets.
- Reinforced the abdominal aponeurosis with dermal sheets and used tension-reducing wound closure.
Main Results:
- All patients were discharged without complications.
- Follow-up showed favorable functional and aesthetic outcomes.
- CT scans at 6 months confirmed dermal sheet integration and reinforcement.
Conclusions:
- This autologous dermal graft technique is an efficient, cost-effective, and reliable option for fascia-based defects, especially in patients with severe rectus diastasis and midline hernias.
- The method effectively restores abdominal wall integrity and minimizes recurrence risk.
