J Minim Invasive Surg.  2019 Sep;22(3):127-130. 10.7602/jmis.2019.22.3.127.

Laparoscopic Repair of Diastasis Recti: A Case Report and Literature Review

• Lee W
• Cho JK
• Jang JY
• Hong SC
• Jeong CY

• KMID: 2457660
• DOI: http://doi.org/10.7602/jmis.2019.22.3.127

Abstract

Diastasis recti is a state with separated aponeurosis between two recti caused by weakening of the intercrossing fibers in the linea alba and it causes abdominal protrusion. Common causes comprised of increased intraabdominal pressure, or congenital weakening of myoaponeurotic layer. We describe a patient who underwent laparoscopic repair of diastasis recti. A 30-year-old woman was referred to our outpatient department for an abdominal mass that had appeared 1 year earlier. Physical examination revealed an abdominal wall defect along the midline and computed tomography showed thinning and stretching of the linea alba. The patient underwent laparoscopic repair for diastasis recti. The stretched linea alba was approximated using interrupted sutures from the epigastrium to the suprapubic area. A dual mesh was applied below the peritoneum to prevent recurrence. The patient was discharged without complications, and was followed up for 1 year without recurrence. Laparoscopic repair could be a considerable is a treatment modality for diastasis recti.

Keyword

Laparoscopy; Diastasis recti; Linea alba; Repair

MeSH Terms

Abdominal Wall
Adult
Female
Humans
Laparoscopy
Outpatients
Peritoneum
Physical Examination
Recurrence
Sutures