Can my previous diastasis recti repair results be corrected laparoscopically? (photos)

Question

I had diastisis and umbilical hernia repair in Lithuania on 8/2/23. I left on 8/7; noticed a seroma on 8/9. It was drained on 8/21(hard to find surgeon to drain). A 2nd seroma formed in late Sept/Oct but it was reabsorbed w/ compression. In Nov ‘23, I noticed a hard bulge, palpable midline scar and tight skin where the seromas were. I had scar revision on 8/21/24 but only a small portion was removed and the bulge is still there. Can it be fixed laparoscopically? don’t want/need tummy tuck.

Chad Deal, MD · Answer

You likely developed a chronic seroma or maybe even a small hematoma, that if not drained quick enough, and often until resolution, can result in a pseudobursa. This is essentially a tough capsule of scar tissue. You can try injecting these multiple times with steroids and 5-FU but in my experience, it’s better to just go back and remove the entire capsule and use good compression to prevent it from coming back. Hopefully, this can be done through just an umbilical incision to prevent a larger scar.

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