Ventral Hernia Repair with Mesh Also Diastasis Recti?

   The mesh can be removed.  A component separation technique may be an option depending upon extent of hernia.  Direct repair with plication is an option in smaller defects.

It is certainly possible to combine a hernia repair and tummy tuck.  I personally never have used mesh an prefer to use the patient's own tissue to repair the hernia defect. A tummy tuck can then be done to remove excess skin.

 

The hernia repair, however, may prevent the abdomen from becoming quite as flat because it is not wise to place too much tension on the repair.

I would definetely consult with a plastic surgeon.  Diastasis repairs and tummy tucks are done as open surgeries and are not covered by insurance but a portion of the anesthesia may be covered because of the potential mesh removal and hernia repair and depending on your insurance. See your plastic surgeon for specifics about mesh removal....its not a small undertaking.

Depending on what type of mesh that was used this mesh can be removed and the diastasis can be repaired

Mesh has certainly been used for many years to correct a ventral hernia or diastasis recti.  This condition, very common after pregnancies, is really a separation between the two paired rectus muscles and stretching of the linea alba.  In your particular condition can most likely be improved with an abdominoplasty and a repair of the fascia from the bottom of your breast bone to the pubic bone.  This is typically performed on every abdominoplasty.   When presented with this problem mesh can be very difficult to completely remove since your soft tissue will grow in and around the material.  The mesh is usually made from a nylon type material configured like a screen.  Once wide exposure is created using the low transverse abdominoplasty incision the visible edges of the mesh can be excised and then a fascial repair can be performed in standard fashion.  Your next step is to be examined by a plastic surgeon.