"Preaponeurotic Endoscopic Repair for the Management of Diastasis Recti"

Abstract

Background: Diastasis recti is an increase in the distance between the rectus abdominis muscles in the midline caused by weakness in the anterior abdominal wall. Patients with diastasis recti commonly present with a midline bulge with or without other symptoms. The preaponeurotic endoscopic repair is performed with a suprapubic approach and in both iliac fossae. A new preaponeurotic cavity is created with dissection of the subcutaneous cellular tissue, followed by rectification with barbed suture.Methodology: A narrative review was carried out through various databases from January 2012 to February 2022; the search and selection of articles was carried out in journals indexed in English. The following keywords were used: Endoscopic repair; preaponeurotic; diastasis recti; physiotherapy.Results: Diastasis recti is an increase in the distance between the rectus abdominis muscles in the midline caused by weakness in the anterior abdominal wall. Currently there are different therapeutic approaches for diastasis recti, among which we can highlight physiotherapy and surgical approach which can be open surgery, laparoscopic surgery and robot-assisted surgery. The preaponeurotic endoscopic repair allows us to resolve the parietal defect with the placement of a reinforcement supraaponeurotic prosthesis. Conclusion:His review offers updated and detailed information on the treatment options that exist to date, as well as highlighting the importance of preaponeurotic endoscopic repair