My board certified plastic surgeon has recommended both anterior and posterior repairs via a component Seperation technique for my Diastasis recti. How is this different from a standard repair? Also, can this be done without mesh because I am allergic? Will it hold? Thanks
Answer: Component separation I see no need for either component separation or mesh in tummy tucks I have performed. They may have their place in a severely stretched out tummy with a true hernia, but those cases are not the typical tummy tuck. Component separation and mesh are used in really bad reconstructive cases but not in the routine case.
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Answer: Component separation I see no need for either component separation or mesh in tummy tucks I have performed. They may have their place in a severely stretched out tummy with a true hernia, but those cases are not the typical tummy tuck. Component separation and mesh are used in really bad reconstructive cases but not in the routine case.
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Answer: Tummy tuck with seperation of component repairof diastasis rectus. Component separation is usually reserved for wide hernia repair that cannot be closed without tension or mesh. A tummy tuck with moderate diastasis rectus, does not require separation of components.Without a physical examination and an MRI of your abdomen, it is not possible to determine if you need to have separation of component repair.You state that you are allergic to mesh. If you know you are allergic to mesh that would mean you have already had mesh for some type of repair. If that is the case, you may have a hernia that needs separation of components. Separation of components does not always entail use of mesh. There also many different types of mesh and ADM's, that are available that are not reactive.Any repair that requires mesh, or separation of components, is at risk of failure.Yours,Jon M. Grazer, MD, MPH, FACSPlastic SurgeryNewport Beach, CA
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Answer: Tummy tuck with seperation of component repairof diastasis rectus. Component separation is usually reserved for wide hernia repair that cannot be closed without tension or mesh. A tummy tuck with moderate diastasis rectus, does not require separation of components.Without a physical examination and an MRI of your abdomen, it is not possible to determine if you need to have separation of component repair.You state that you are allergic to mesh. If you know you are allergic to mesh that would mean you have already had mesh for some type of repair. If that is the case, you may have a hernia that needs separation of components. Separation of components does not always entail use of mesh. There also many different types of mesh and ADM's, that are available that are not reactive.Any repair that requires mesh, or separation of components, is at risk of failure.Yours,Jon M. Grazer, MD, MPH, FACSPlastic SurgeryNewport Beach, CA
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February 21, 2015
Answer: Component separation Component separation is a technique utilized to allow the muscle wall to be sutured back in the midline. A standard diastasis doesn't typically require this to be performed and the muscle edges can be brought back together without much difficulty. If you a severe diastasis or a hernia this technique can be useful. Mesh is typically used as additional support over the repair, but is not usually necessary, adds expense and is a foreign body that could cause problems down the road.without pictures, a definitive answer is hard to provide with any accuracy.good luck!
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February 21, 2015
Answer: Component separation Component separation is a technique utilized to allow the muscle wall to be sutured back in the midline. A standard diastasis doesn't typically require this to be performed and the muscle edges can be brought back together without much difficulty. If you a severe diastasis or a hernia this technique can be useful. Mesh is typically used as additional support over the repair, but is not usually necessary, adds expense and is a foreign body that could cause problems down the road.without pictures, a definitive answer is hard to provide with any accuracy.good luck!
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February 20, 2015
Answer: Component Separation Technique and Diastasis Recti? This would be unusual, but an exam would be necessary to make a determination. I would search for the board certified plastic surgeon who you feel is most likely to give you the best results and who performs hundreds of these procedures each year. I would look at patient reviews as well as before and after photos on that surgeon's website.Kenneth Hughes, MDLos Angeles, CA
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February 20, 2015
Answer: Component Separation Technique and Diastasis Recti? This would be unusual, but an exam would be necessary to make a determination. I would search for the board certified plastic surgeon who you feel is most likely to give you the best results and who performs hundreds of these procedures each year. I would look at patient reviews as well as before and after photos on that surgeon's website.Kenneth Hughes, MDLos Angeles, CA
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February 22, 2015
Answer: Component separation method for diastasis recti The component separation method is usually employed for more complex muscle separations and large hernias where a mesh or other implantable material is not considered. It is an aggressive and tedious procedure and has features of what are called relaxing incisions used to gather more tissue on either side of the defect or diastasis. If your surgeons feels this is necessary you may have a large problem he has assessed. He may not be inclined to use mesh. Ordinarily non-eviserating or non-intestinal bulging defects can be repaired by conventional methods with and without mesh. Relaxing cuts can be made as necessary in the right place. The right place is the key word. Often patients are receiving so much technical information when it is the experience and judgment of the surgeon rather than the specific operation per se that is important. Seeing the particular case if more important than concurring with a particular method. The textbooks of hernia and diastasis repair contain countless variations on a theme for such matters and in good hands all methods can be successful when applied correctly. Large diastases and large hernias despite our tireless expert efforts, can from time to time recur, especially when weight is gained, health is poor, and in smokers.
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February 22, 2015
Answer: Component separation method for diastasis recti The component separation method is usually employed for more complex muscle separations and large hernias where a mesh or other implantable material is not considered. It is an aggressive and tedious procedure and has features of what are called relaxing incisions used to gather more tissue on either side of the defect or diastasis. If your surgeons feels this is necessary you may have a large problem he has assessed. He may not be inclined to use mesh. Ordinarily non-eviserating or non-intestinal bulging defects can be repaired by conventional methods with and without mesh. Relaxing cuts can be made as necessary in the right place. The right place is the key word. Often patients are receiving so much technical information when it is the experience and judgment of the surgeon rather than the specific operation per se that is important. Seeing the particular case if more important than concurring with a particular method. The textbooks of hernia and diastasis repair contain countless variations on a theme for such matters and in good hands all methods can be successful when applied correctly. Large diastases and large hernias despite our tireless expert efforts, can from time to time recur, especially when weight is gained, health is poor, and in smokers.
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