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Posted underDiastasis Recti Repair q&a

Can endoscopy be used for diastasis recti repair?

I have a 4-5 finger width diastasis recti with absolutely no excess skin or fat. Could the diastasis recti be repaired endoscopically through a navel incision?

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. Paul Banwell, BSc, FRCS(Plast)
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Dr. Paul Banwell, BSc, FRCS(Plast)
Specialist Registered Plastic Surgeon
4.9 | 195 Reviews
Answered on Nov 25, 2013
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Dr. Kelvin Eusebio, MD
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Dr. Kelvin Eusebio, MD
Plastic Surgeon
4.6 | 80 Reviews
Answered on Nov 22, 2013
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Dr. Thangavel Ayyappan, MBBS, MS, MCh, DNB
Dr. Thangavel Ayyappan, MBBS, MS, MCh, DNB
Plastic Surgeon
Answered on Nov 22, 2013
Answer

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Christopher J. Davidson, MD, FACS

Although I have seen it done with a large midline incision, it is very difficult and near impossible to correct a rectus diastasis in a cosmetically acceptable way without a tummy tuck.

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Ronald J. Edelson, MD

Most women with your situation could benefit from a tummy tuck at the same time as the diastasis and hernia repair.  There is a techniques developed hears ago where the entire procedure can be done laparoscopically, but this never caught on.  Hard to give you further input without...

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Peter D. Geldner, MD

Hi Dominic's Mommy. You bring up a great question about what a diastasis repair does. When we tighten the abdominal wall,it diminishes the abdominal circumference much like a belt brings in the waistline. The benefits are obvious. The contour is improved, bulges such as you describe go away, and...

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Scott Tucker, MD

While endoscopic repairs of the muscle can be done it is pretty rare that there wouldn't be a benefit from tightening of the skin with excision. Check with a board certified plastic surgeon in you area for options.

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Will Flared Ribs Interfere with How a Diastasis Recti Repair Will Hold Up?

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Robert F. Centeno, MD, FACS

Thank you for your question. Flared ribs can have some effect on the degree of repair that can be achieved, but it is unlikely to affect recurrence.  With a two layered repair it is uncommon to have recurrence.  Weight gain and repeat pregnancy are the most common causes of recurrence...

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David Shifrin, MD

Insurance companies allow physicians to perform " medically necessary" procedures. No amount of convincing or manipulating of the system can change insurance companies stance. Hernia repairs are covered. Panniculectomy is sometimes covered. Cosmetic surgery (tummy tuck) is not. Cheers

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