65094

Assessement of the Correction of Rectus Abdominis Muscles Diastasis Using Two Different Techniques

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Reconstructions post

Abstract

Introduction: The technique used for correction of rectus
abdominis diastasis has been a debatable issue since the
original description of abdominoplasty. The aim of this study
is to assess the durability of the correction of midline diastases
done by two different techniques (the rectus abdominis myofascial
release technique and the conventional midline plication)
and their effect on waist enhancement and its safety in
the terms of the intraabdominal pressure changes and respiratory
affection that occur after plication.
Patients and Methods: The study was conducted on 12
females with body mass index less than 30, having Rohrich
type IV B deformities. The patients were divided randomly
into two groups based on the technique used for plication of
anterior rectus sheath: Group (A) 6 patients underwent myofascial
release technique, while group (B) 6 patients underwent
conventional midline plication. The two groups were compared
as regards; 1- The width of rectus diastasis using computed
tomography of their anterior rectus abdominis sheath pre-and
post-operatively at 1 and 6 and as regards 3 points: (A) At
the umbilicus, (B) Midway between umbilicus and xiphoid
process and (C) Midway between umbilicus and symphysis
pubis 2- Waist hip ratio pre-and post-operatively at 1 and 6
months. 3- Evaluation of ventilatory function using spirometry
and intraoperative measurement of intra-abdominal pressure
before and after plication.
Results: Post-operative follow-up time averaged 8 months
(range 6-10 months). Group A showed significant decline in
the diastasis distance and increase in WHR than group B.
There was a significant reduction in spirometry values and
increase in IAP in group A rather than group B after surgery
but there was no clinical differences in the respiratory function
between both groups.
Conclusion: Plication of the anterior rectus sheath using
myofascial repair technique showing nonsignificant residual
diastasis six months post operatively and has a better effect
on the waist enhancement than the conventional plication
with no respiratory complication.

DOI

10.21608/ejprs.2019.65094

Keywords

Rectus abdominis – Diastasis – Techniques

Authors

First Name

Nada

Last Name

Mahmoud

MiddleName

A

Affiliation

The Departments of Plastic, Burn and Maxillofacial Surgerym Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

-

City

Cairo

Orcid

-

First Name

Wafaa

Last Name

Abdel Hamid

MiddleName

R

Affiliation

The Departments of Radio Diagnosis, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

-

City

Cairo

Orcid

-

Volume

43

Article Issue

2

Related Issue

9788

Issue Date

2019-07-01

Receive Date

2019-12-14

Publish Date

2019-07-01

Page Start

271

Page End

282

Print ISSN

1110-0044

Online ISSN

2974-4709

Link

https://ejprs.journals.ekb.eg/article_65094.html

Detail API

https://ejprs.journals.ekb.eg/service?article_code=65094

Order

19

Type

Original Article

Type Code

1,110

Publication Type

Journal

Publication Title

The Egyptian Journal of Plastic and Reconstructive Surgery

Publication Link

https://ejprs.journals.ekb.eg/

MainTitle

Assessement of the Correction of Rectus Abdominis Muscles Diastasis Using Two Different Techniques

Details

Type

Article

Created At

22 Jan 2023