I've gotten 3 different answers from 3 different general surgeons. I'm 10 weeks postpartum via csection. 1st surgeon said he didn't feel a hernia it's just muscle weakeness if there is one its small 2nd one said hernia is about 4-5 inches wait a few more months and 3rd said he can do the surgery now. But neither showed me my ct scan and specifically showed me the hernia. Just a bit confused on what to do. Thank you
Answer: Rectus divarication Based on your CT scan I agree that you do have a ventral hernia, due to divarication (diastasis) of your rectus abdominus muscle. Most likely this is related to your recent pregnancy.I think this is unlikely to resolve with time, exercises to strengthen the muscles or compression garments to try to pull things back together. Most likely you will need a repair of the divarication and this is most easily and safely performed as part of an abdominoplasty. I suggest waiting a few more months before you undertake the surgery. It is ideal if you have returned to your pre-pregnancy weight and activity levels. If you are planning more children it is also probably better to defer the surgery until after your last child too.Kind regards,Dean
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Answer: Rectus divarication Based on your CT scan I agree that you do have a ventral hernia, due to divarication (diastasis) of your rectus abdominus muscle. Most likely this is related to your recent pregnancy.I think this is unlikely to resolve with time, exercises to strengthen the muscles or compression garments to try to pull things back together. Most likely you will need a repair of the divarication and this is most easily and safely performed as part of an abdominoplasty. I suggest waiting a few more months before you undertake the surgery. It is ideal if you have returned to your pre-pregnancy weight and activity levels. If you are planning more children it is also probably better to defer the surgery until after your last child too.Kind regards,Dean
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Answer: Based on these CT photos, do I have a hernia, diastasis recti or both? (photos) Thank you very much for your
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Answer: Based on these CT photos, do I have a hernia, diastasis recti or both? (photos) Thank you very much for your
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April 22, 2015
Answer: Hernia Vs. Rectus diastasis muscles Hi, thanks for your interesting question. I can see an important diastasis of abdominal rectus muscle in the CT scan. For practical purposes, it shows a similar behaviour of an hernia, because of this, In addition to a surgical muscle repair I recommend you the use of a proline net, which will give you a reinforcement to the abdominal wall. Respectfully,Dr. Emmanuel Mallol Cotes
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April 22, 2015
Answer: Hernia Vs. Rectus diastasis muscles Hi, thanks for your interesting question. I can see an important diastasis of abdominal rectus muscle in the CT scan. For practical purposes, it shows a similar behaviour of an hernia, because of this, In addition to a surgical muscle repair I recommend you the use of a proline net, which will give you a reinforcement to the abdominal wall. Respectfully,Dr. Emmanuel Mallol Cotes
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April 21, 2015
Answer: Looks like rectus diastasis to me Wow that CT scan looks like rectus diastasis to me. I wonder how much it cost since physical exam is all most doctors need to diagnose this. If a general surgeon desires to fix this under your insurance plane then I bet you will not like the probable vertical scar. I agree that waiting and seeing a local board certified plastic surgeon is a good idea. If you elect to have this done now you may need it done again if you have other children. Good Luck!
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April 21, 2015
Answer: Looks like rectus diastasis to me Wow that CT scan looks like rectus diastasis to me. I wonder how much it cost since physical exam is all most doctors need to diagnose this. If a general surgeon desires to fix this under your insurance plane then I bet you will not like the probable vertical scar. I agree that waiting and seeing a local board certified plastic surgeon is a good idea. If you elect to have this done now you may need it done again if you have other children. Good Luck!
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April 20, 2015
Answer: Hernia vs. Diastasis Recti Thank you for your question. Although I am not a radiologist, I do not see a hernia on your CT scan and I believe you have a diastasis recti. As you are two and a half months post partum, I would recommend waiting another one to two months before considering having surgery. If you are considering having more children, I would recommend waiting before having this repaired. Correction of diastasis recti is a component of abdominoplasty procedure. If you are done having children then I think you could safely proceed with an abdominoplasty within two to three months.
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April 20, 2015
Answer: Hernia vs. Diastasis Recti Thank you for your question. Although I am not a radiologist, I do not see a hernia on your CT scan and I believe you have a diastasis recti. As you are two and a half months post partum, I would recommend waiting another one to two months before considering having surgery. If you are considering having more children, I would recommend waiting before having this repaired. Correction of diastasis recti is a component of abdominoplasty procedure. If you are done having children then I think you could safely proceed with an abdominoplasty within two to three months.
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