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I'm a 65 Male with Rectus Diasthasis and I Also Have a Ventral Hernia. Best Way to Repair?

asked 9 months ago by Thomas2150 in Vero Beach, FL
Latest answer by David Bogue, MD
Question viewed 143 times
Tags: cosmetic surgery, hernia repair, insurance

My surgeon wishes to perform a polyfiber mesh inplant using minimal invasive surgery, but I have been told this should be done as a last resort due to possible high degree of infection. NOTE: My surgeon has not performed a CT. What is the proper repair for these issues that my insurance will pay for. My insurance will not pay for a tummy tuck, but I am not having it done for that reason. How can the Rectus and Ventral hernia repair be done so it is not considered cosmedic surgery? thanks

4 answers to I'm a 65 Male with Rectus Diasthasis and I Also Have a Ventral Hernia. Best Way to Repair?

+1

Ventral hernia repair without mesh.

A safe and effective option for ventral hernia repairs without mesh is an operation known as a separation of components. Essentially, the abdominal wall consists of multiple layers of "fascia." Each fascial layer is very strong and associated with the muscles of the abdominal wall. By separating the fascial layers from one another and using these to close off the hernia, both the hernia and the diastasis are repaired. This is not a tummy tuck, but rather a repair of an abdominal... more
David Bogue, MD

Boca Raton Plastic Surgeon
+1

Ventral hernia and diastasis are reconstructive/ tummy tuck is cosmetic

You have a ventral hernia and diastasis which should be covered by insurance. The choice of hernia repair is determined by your surgeon. Factors in deciding technique include the size and location of the hernia (suggesting that a radiological exam may be of benefit), previous operations on the hernia, and previous use of mesh or only suture repair. If you have had previous mesh and infection, this may obviate the use of mesh again. Depending upon where and how... more
David N. Hing, MD

Ann Arbor Plastic Surgeon
+1

Ventral hernia repair and rectus diasthasis repair

The skin incision to access the hernia repair is only access route. Whether it is through a midline incision abdominoplasty incision or a laparoscopic incision you must access the hernia to repair. The severity of hernia would determine if a closure of the hernia, or repair using mesh or a direct closure and then a mesh on top of the closure would be the best way to close this hernia. I don't believe the rectus diasthasis can be repaired laparoscopically. If the hernia can be... more
Wendell Perry, MD

Miami Plastic Surgeon
+1

Tummy tuck with mesh

Interesting dilemma. Whether you need a tummy tuck or not is irrelevant to the decision as to how the rectus diastasis and hernia is repaired. The repair of the diastasis can be done with or without an accompanying tummy tuck. If your skin is loose or hanging, a tummy tuck would be a good idea. If not, the repair is enough. As for the method of diastasis repair itself the advice i have is that in males if required it needs to be strong. If not strong, it... more
Howard Webster, MBBS, MBA

Melbourne Plastic Surgeon

www.arcplasticsurgery.com.au

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