Laparoscopic Repair of Diastasis Recti? (photo)

Given your medical condition, and body habitus, I don't feel you would be a candidate for a laparoscopic rectus diastasis repair. It is difficult to tell whether your bulge is solely from rectus diastasis without examining you in person. In any event, if you did have a diastasis repair, creating a flat abdomen would surely leave you with a significant excess of skin that would have to be excised as part of a traditional abdominoplasty procedure.

I would recommend seeing a surgeon in consultation so that a full medical history can be taken and you can be properly examined. Then your questions can be properly addressed.

 

Neither appropriate nor advisable.

Even if the procedure were risk free, bringing together the edges of the rectus muscles would cause buckling of what is certainly a lot of horizontal akin excess, resulting in an unttractive collection of abdominal skin in the midline. 

Furthermore, I am not sure how certain you may be that this is mere diastasis. I would expect the possibility of a hernia given the appearance in the photo (was your splenectomy incision in the midline?) and a complicating factor of excess intra-abdominal contents. 

Saying this, a single photo and little other info is not much to go on, so my best advise would be to seek an in person consultation. When you ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S. Thank you for your question, best wishes.