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Better Results from Endoscopic Diastasis Repair?

asked 3 years ago by tlc14_2002 in Canada
Latest answer by B. Pat Pazmino, MD
Question viewed 2,991 times

Due to a second recurrent diastasis, my surgeon is leaning towards endoscopic surgery to retighten the diastasis this time, instead of opening me up again. I think an ultrapro mesh overlay may be needed for the best reinforcement and the best chance of success. Can the mesh support be used endoscopically? Will both above and below umbilicus be effectively re-tightened endoscopically? Will there be any difference in the look or tightness when done endoscopically as opposed to traditional surgery?

3 answers to Better Results from Endoscopic Diastasis Repair?

+2

Mesh probably not needed...

Many surgeons use a running suture to repair the diastasis during an abdominoplasty (myself included). The only problem is that if you have a fall after surgery or have a lot of vomiting, the suture may break and then the whole thing comes undone. My approach to that is to re-elevate the flaps and use interrupted sutures the second time around. If your surgeon can do that endoscopically, then that's fine, but I don't think the mesh is needed. Just don't fall again!
Robert S. Houser, DO

Columbus Plastic Surgeon
+1

Endoscopic diastasis repair can be difficult

Although it is possible to correct a diastasis repair with endoscopic techniques, this is a very difficult surgery, especially in a recurrent case. When performing endoscopic surgery, the surgeon is working in a limited area and with limited vision. This can make even an initial repair difficult, much less an area that has already failed the first repair. For a difficult diastasis repair you would best be served by revising this repair under direct vision and with full exposure. To... more
B. Pat Pazmino, MD

Miami Plastic Surgeon

www.miamiaesthetic.com

+1

Endoscopic diastasis repair after disruption

Dear Tlc, Thank you for the pictures. It is often impossible to answer some of the questions posed to us by others without any visual data. Questions - 1. Are we to understand that "second recurrent diastasis" means you disrupted your diastasis repair TWICE? (recurrent being the first time and the fall being the second? 2. If so, how was your diastasis repaired the first time by your surgeon? Frankly, I am bothered by the breakdown (or repeated breakdown) of your diastasis repair... more
Peter A. Aldea, MD

Memphis Plastic Surgeon

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