Mesh Support for Recurrent Diastasis?

asked 3 years ago by tlc14_2002 in Canada
Latest answer by B. Pat Pazmino, MD
Question viewed 6,986 times

Has anyone here worked on a recurrent diastasis using mesh (what kind recommended?) to support the re-plication of that diastasis? If not mesh, what method did you use that worked? I am on my second recurrent diastasis (fell down stairs at six weeks) and am looking for any way to make sure after my third diastasis repair that I never have to deal with this again (I haven't gained any weight). My plastic surgeon uses 3 layers and used thicker sutures for the diastasis the 2nd time.

6 answers to Mesh Support for Recurrent Diastasis?

Mesh support for repeated tummy muscle separation (diastasis)?

I tend to agree somewhat with all of my colleagues, especially Drs. Di Saia, Zwiren and Rand. Without a Pre-surgical picture, it is impossible to asses just how loose your abdominal wall really was and how much of a diastasis you had. The best way to document this photographically is with a SIDE PICTURE of the patient bent over at the pelvis WITH THE TUMMY COMPLETELY RELAXED (very hard for most women) in the diving position (as if diving off the side of a pool). If you have a large... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Correcting a recurrent diastasis with mesh

Tummy tucks are a very popular and effective technique to contour the abdomen. During this surgery, we typically perform a muscle repair to bring the separate muscles together. One of the possible complications after a tummy tuck is a loosening of this muscle repair. If this has occurred, it may be possible to repair this through additional suturing techniques. It is not common to try to repair this loosening with mesh. Keep in mind that we always want to avoid adding artificial... more

B. Pat Pazmino, MD
Miami Plastic Surgeon

www.miamiaesthetic.com

Recurrent rectus diastasis for a third time

Looking at your pictures, I am impressed that your scar doesn't look very well crafted. No offense intended to your doctor, but I hope the internal work was done better that what I am seeing externally. Additionally, your result before the fall looked unrealistically tight as if you were sucking in your abdomen. It is possible that you were over tightened and the result just equilibrated and stretched out regardless of the fall. In other words, regardless of another repair and regardless... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Alloderm may be a better choice with recurrent abdominal weakness

Each time you have a recurrence the probability of a recurrent widening or loss of fascial support increases. It is possible that you may benefit from a reconstruction of your abdomen using a material such as alloderm. The use of this material is derived from human skin, may help provide added support and may avoid some of the complcations associated with the use a traditional surgical mesh.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

Many mesh materials

There are many different mesh materials and I understand your confusion. Although initially, it was thought that stiffer materials would provide the strongest support, there has been a change in the thought process. Now, there are some mesh materials with a slightly elastic component. However, these are relatively new and the long term effects are still not completely understood.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Mesh can be a problem, be careful

Hello, While mesh can be used to support a repair, it is not advisable in my opinion. The risk of infection and long term pain are not large, but they exist and I have seen a few patients like this over the years. If you get into this situation, the mesh is very hard to remove and the pain may be permanent.

John P. Di Saia, MD
Orange Plastic Surgeon

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