Full TT to repair large diastasis. 2 Failed MRs from just below BB to rib cage. Large up ab bulge. Bottom flat. Seen two surgeons. 1st said he will just do a mesh, no plication. Says I do not have a hernia. 2nd wants to do component separation. Says I have a ventral hernia. Recommended a Gen Surgeon in the area with expertise that would take insurance for it. Since CS releases the side of the abs, will it fix the bulge and flatten tummy or just bring muscles to center with side laxity?
December 20, 2015
Answer: Component Separation Thank you for your question. Your past surgical history is a little unclear and there seems to be some disagreement as to whether or not you actually have a hernia. An abdominal examination and likely a CT scan of the abdomen are required to give an accurate opinion and surgical recommendations. That being said, a component separation surgery is typically not indicated to repair a rectus diastasis. A diastasis does not cause problems or symptoms which is the reason insurance companies do not cover repair. A component separation is usually the procedure of choice for large hernias or hernias that have recurred following repair. Having performed this procedure a great deal, component separation is a very effective procedure with a low rate of hernia recurrence but it is not without its risk of complications. Consult with a board certified plastic surgeon who is experienced in abdominal wall repair for a full evaluation and to discuss your options.
Helpful
December 20, 2015
Answer: Component Separation Thank you for your question. Your past surgical history is a little unclear and there seems to be some disagreement as to whether or not you actually have a hernia. An abdominal examination and likely a CT scan of the abdomen are required to give an accurate opinion and surgical recommendations. That being said, a component separation surgery is typically not indicated to repair a rectus diastasis. A diastasis does not cause problems or symptoms which is the reason insurance companies do not cover repair. A component separation is usually the procedure of choice for large hernias or hernias that have recurred following repair. Having performed this procedure a great deal, component separation is a very effective procedure with a low rate of hernia recurrence but it is not without its risk of complications. Consult with a board certified plastic surgeon who is experienced in abdominal wall repair for a full evaluation and to discuss your options.
Helpful
December 20, 2015
Answer: Flat stomach if you have had 2 failed MRs, chances are, you have poor quality tissue strength. my usual choice would be attempt at some tissue repair in your midline. then i would use mesh and/or other support products for the repair. i would do the CS last. but to achieve the "flat stomach" will be very difficult, try to achieve some improvement and be accepting of that.
Helpful
December 20, 2015
Answer: Flat stomach if you have had 2 failed MRs, chances are, you have poor quality tissue strength. my usual choice would be attempt at some tissue repair in your midline. then i would use mesh and/or other support products for the repair. i would do the CS last. but to achieve the "flat stomach" will be very difficult, try to achieve some improvement and be accepting of that.
Helpful
