Tummy Tuck: Q&A

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Must a Diastasis Recti and Hernia Be Surgically Repaired? (photo)

I have seen a gastro and was told I have diastasis recti ..its about 4 fingers wide i think ...plus a small hernia in the linea Niagara ? My question is can I opt to only fix the hernia ? If so would the hernia most likely return if I dont repair the diastasis ? Or would there be any other complications ? I was referred to a surgeon but havent went yet . I am not obese , maybe be slightly overweight ? I am 5'7 162 lbs

3 Doctor Answers | Asked by tou tou
+2

Hernia repair vs muscle tightening

Hello, Thank you for the question and photos. I suspect your hernia has two components including a weakness of the fascia and global laxity of the abdominal wall in the surrounding areas. Approximation of the borders of the muscle as is performed during abdominal wall tightening can take care of most ventral hernias. If the hernia size is very large and/or the the surrounding abdominal wall is also not that strong an overlay may also be used such as acellular dermal... more
+2

Correcting diastasis recti with a hernia repair doesn't have to be done

You can get the hernia repaired without having the diastasis recti repaired, but you may still have a wide abdomen or bulge afterward. If you do want both corrected at the same time, you'll get some "added protection" from tummy tuck required to fix the split muscles. One thing to consider is that the tummy tuck portion won't be covered by insurance. However, some of the anesthesia and facility fees for the tummy tuck may be considered part of the hernia repair which would... more
+2

Diastasis Recti and Hernia

You certainly can opt to have just the hernia repaired. This will decrease the risk of the complications of unrepaired hernia. That will not improve the appearance of your abdominal wall, however. Repairing the diastasis will not affect the recurrence rate of the hernia. From the photos, if you chose to have the diastasis repaired as well, and had a tummy tuck which is usually "necessary" with this much of a diastasis (otherwise the skin would buckle in the midline) you would have... more

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Comments (1)

Thank you Doctors for your answers ....I am residing in a foreign country at this time and am not sure what they will consider cosmetic ..... I will be seeing the surgeon in a couple weeks and if I can fix the entire problem I think I will :) One more question if I may ? If I get this fixed would I not be able to have anymore children ? I am only 35 and have only my twin girls that are almost 3 years old :)
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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