Hi, I was recently diagnosed with Diastasis Recti after going to a consultation for an umbilical hernia. I don't have excess of skin and my stomach is partially flat with very low body fat, except that my organs push my abdominal wall out a bit and I always thought that I had bodybuilder belly because I do work out (now I know what this was about). Would I be a good candidate for a laparoscopic surgery to fix my hernia and DR? How bad is the recovery compared to a TT or a single hernia surgery?
Answer: Diastasis Repair Best Done with Tummy Tuck It is uncanny how similar your question is to the one I answered just last week. I am going to attach it here:Yes, the Diastasis Recti can be repaired without performing a full on tummy tuck. BUT, I'm not sure how your results would look after the fact. For instance, a general surgeon would simply make a vertical incision on your tummy and of course, that would be unfavorable. They might also attempt a laparoscopic repair, but that could leave a ridge along the tummy. A plastic surgeon would attempt to get it done from below through the C-section scar, but that is very challenging and would likely involve significant risk for bleeding which is difficult to control from so far away. Frankly, the simplest technical thing to do is a tummy tuck like incision which helps us gain access as well as re-drape the skin (even if you don't remove any). I'm going to attach a youtube video link below that might help you to understand why I say a tummy tuck is the simplest way to gain access for the diastasis repair.Good Luck!
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Answer: Diastasis Repair Best Done with Tummy Tuck It is uncanny how similar your question is to the one I answered just last week. I am going to attach it here:Yes, the Diastasis Recti can be repaired without performing a full on tummy tuck. BUT, I'm not sure how your results would look after the fact. For instance, a general surgeon would simply make a vertical incision on your tummy and of course, that would be unfavorable. They might also attempt a laparoscopic repair, but that could leave a ridge along the tummy. A plastic surgeon would attempt to get it done from below through the C-section scar, but that is very challenging and would likely involve significant risk for bleeding which is difficult to control from so far away. Frankly, the simplest technical thing to do is a tummy tuck like incision which helps us gain access as well as re-drape the skin (even if you don't remove any). I'm going to attach a youtube video link below that might help you to understand why I say a tummy tuck is the simplest way to gain access for the diastasis repair.Good Luck!
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Answer: Recovery for Laparoscopic Repair of Diastasis Recti. How bad is the recovery compared to a TT or a single hernia surgery? Hi. Without your photos or history regarding any pregnancies it's difficult to accurately assess your case. However, I perform muscle plicate on on all of my TT. I don't imagine that correction of a rectus diastasis in and of itself is not different. I recommend two weeks recovery before returning to administrative work and eight weeks before slowly integrating the patient back into their exercise routine. Good Luck, Dr PG
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Answer: Recovery for Laparoscopic Repair of Diastasis Recti. How bad is the recovery compared to a TT or a single hernia surgery? Hi. Without your photos or history regarding any pregnancies it's difficult to accurately assess your case. However, I perform muscle plicate on on all of my TT. I don't imagine that correction of a rectus diastasis in and of itself is not different. I recommend two weeks recovery before returning to administrative work and eight weeks before slowly integrating the patient back into their exercise routine. Good Luck, Dr PG
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February 13, 2018
Answer: Recovery for Laparoscopic Repair of Diastasis Recti. How bad is the recovery compared to a TT or a single hernia surgery? The best person to answer this question- is your general surgeon. The plastic surgeon is best suited to repair this type of hernia through an open incision such as with the abdominoplasty (Tummy Tuck). Laparoscopic repair in my opinion best done by a general surgeon
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February 13, 2018
Answer: Recovery for Laparoscopic Repair of Diastasis Recti. How bad is the recovery compared to a TT or a single hernia surgery? The best person to answer this question- is your general surgeon. The plastic surgeon is best suited to repair this type of hernia through an open incision such as with the abdominoplasty (Tummy Tuck). Laparoscopic repair in my opinion best done by a general surgeon
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October 12, 2014
Answer: Laparoscopic repair Although hernias can be fixed with a laparascopic approach, diastasis recti cannot. If you need a diastasis repair, this is done through a TT incision and then there is no need for a laparascopic repair as the hernia can be repaired directly. I have heard of endoscopic tummy tucks, but this is done below the skin layer on the abdominal wall. Laparoscopic surgery enters the abdominal cavity to work on the abdominal organs or repair hernias from within the abdomen. I suppose sutures to tighten the abdominal could be theoretically placed this way, it isn't done as far as I know as it would not be practical or efficient to do so.
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October 12, 2014
Answer: Laparoscopic repair Although hernias can be fixed with a laparascopic approach, diastasis recti cannot. If you need a diastasis repair, this is done through a TT incision and then there is no need for a laparascopic repair as the hernia can be repaired directly. I have heard of endoscopic tummy tucks, but this is done below the skin layer on the abdominal wall. Laparoscopic surgery enters the abdominal cavity to work on the abdominal organs or repair hernias from within the abdomen. I suppose sutures to tighten the abdominal could be theoretically placed this way, it isn't done as far as I know as it would not be practical or efficient to do so.
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May 17, 2017
Answer: Question about laparoscopic repair of diastasis recti this technique has been reported but is definitely not the accepted or proven method of repairing a rectus diastasis (or separation of the rectus muscles) Laparoscopic surgery involves entering the abdominal cavity which is actually much more invasive by violating the intra-abdominal space and is deep to the plane that the muscles lie in, therefore, there is no true access to the muscles inside the abdomen. The diastasis involves the superficial aspect of the abdominal wall (the part under the skin and fat) and is therefore accessible through a variety of tummy tuck techniques. If you do not have loose or excess skin, then a mini abdominoplasty approach (c-section type incision) may be very useful to repair the rectus diastasis and repair any hernia that is present as well. An in person consultation with a local board certified plastic surgeon will be best to clear up any confusion for you and develop a comprehensive plan to help you achieve your goals.
Helpful 1 person found this helpful
May 17, 2017
Answer: Question about laparoscopic repair of diastasis recti this technique has been reported but is definitely not the accepted or proven method of repairing a rectus diastasis (or separation of the rectus muscles) Laparoscopic surgery involves entering the abdominal cavity which is actually much more invasive by violating the intra-abdominal space and is deep to the plane that the muscles lie in, therefore, there is no true access to the muscles inside the abdomen. The diastasis involves the superficial aspect of the abdominal wall (the part under the skin and fat) and is therefore accessible through a variety of tummy tuck techniques. If you do not have loose or excess skin, then a mini abdominoplasty approach (c-section type incision) may be very useful to repair the rectus diastasis and repair any hernia that is present as well. An in person consultation with a local board certified plastic surgeon will be best to clear up any confusion for you and develop a comprehensive plan to help you achieve your goals.
Helpful 1 person found this helpful
