Open repair, via minimal approach
This is not a very typical complication. I repair the muscles with two separate, independent layers, and it would take disruption of both layers, which would need a lot of force, to undo the initial repair. I would recommend an open approach, with a two layer repair. Going via the belly button only is an option, but likely to be difficult, and it is more important for your safety and lasting results to have good visualization of the muscles. The scar is already there, so might as well re-use it. Good luck.
Discuss all revisional options!
we occasionally see patients who develop severe abdominal distention following
abdominoplasty surgery.In most cases,
this is due to constipation which appears to be related to general anesthesia
and pain medications.Although rare,
this condition can rarely cause the sutures that hold the muscle together, to
pull apart recreating the original defect.
When this situation arises, surgical
intervention is always indicated.Although, endoscopic surgery is an option, there’s really no significant
advantage with this technique in someone who has already had a lower abdominal
Under these circumstances,
re-opening the original incision provides the exposure to make sure the muscle
repair is done correctly.In this
situation, it’s probably appropriate to perform a double layer closure.
It’s important that you thoroughly
discuss these issues as well as the cost of revisional surgery with your
plastic surgeon.It’s not unusual for
plastic surgeons to perform revisional surgery for free, but it’s customary for
the patient to cover the operating room and anesthesia charges.Your surgeon should be able to discuss these
issues and formulate a treatment plan that addresses your anatomic findings and
achieves your aesthetic goals.
Best way to Repair a Separated Tummy Tuck Muscle Repair
I am sorry for what you are going through. If fault was to be assigned, it is not your fault but neither it is the fault of your surgeon, your anesthesiologist or the hospital that you had bad luck and your distention caused the muscles to pull apart. Many Plastic surgeons would repair it for free, not because they have to but because we like what we do, we like our patients and we share in their disappointments and happiness and would like to make them happy.
Endoscopic muscle tightening was in vogue in the early years of endoscopic surgery and a variety of instruments, some from brazil and long stitch holders from the US, were devised for such purposed. In revision cases the scar tissue is quite intense and makes such attempts at mini-incisions last too long and with marginal results. Understandably, most surgeons would prefer to open the tummy tuch incision and perform the procedure under direct visualization to better place the muscles together.
Re-operation for a diastasis recti after a tummy tuck
This probably occurs more commonly than we think and results in differing degrees of upper abdominal buldging after a tummy tuck. In order to repair it, i would wait until all of the inflamation and scarring subside, maybe 3 to 6 months, and then do the procedure in an open fashion with a 2 layer permanent suture repair. You have already had one complication so why risk another with a minimally invasive approach when you already have the scars and you really will have an easy time of recovery. As far as cost, it is a common policy to be responsible for hospital and anesthesia fees for revision procedures.
good luck and i hope this helps.
Suture failure after tummy tuck
I am so sorry to hear of your problem.
My advice is to get this fixed asap, before scarring sets in and makes repair difficult. The matter of who pays is another difficult issue. Each surgeon has his own policy on this, but you ar efacing a very steep financial bill.
Best to you.
Endoscopic repair of diastasis after tummy tuck not a good idea.
As long as your surgeon does not charge you another surgical fee, I am afraid it is the accepted standard that you pay for operating room and anesthesia for a revision. Of course, in New York City, we make all this very clear to patients in advance.
Forget endoscopic approach. Bad result, and won't save you any money. Sounds like you need another tummy tuck. Sorry!
Endoscopic repair of abdominal diastasis
I am sorry you had a complication which is very unusual with this surgery, but it can happen. Endoscopic repair is certainly a possibility if the surgeon is experienced in this type of repair. Other times just the umbilical incision can be used and in some cases it may be necessary to reopen the lower abdominal incision.
As far as costs, that is something you should discuss with your surgeon. Good luck in your surgery.
Endoscopic repair of rectus diastasis.
An endoscopic surgery can be used to repair the disrupted muscle repair but there may be alot of scar tissue and it may be very difficult to achieve a full correction.