Rectus Diastasis Corrected with Absorbable Suture: A Long-Term Evaluation

Nahas, Fábio Xerfan; Ferreira, Lydia Masako; Ely, Pedro Bins; Ghelfond, Charles

doi:10.1007/s00266-010-9554-2

Cited by 45 publications

(12 citation statements)

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“…A two-layer suture is used in this case to correct the diastasis. It has also been reported in the literature by Rodrigues et al [23] and Nahas et al It has been used in the intraoperative measured inter-rectus distance up to 4.5cm and has been proven to be an adequate treatment method with zero recurrence rate [24][25][26][27][28].different techniques have been described to treat severe RD; however, there is a lack of consensus concerning the best treatment. Type C (5-7cm) is considered severe diastasis, and patients usually present with a protruding midline or an abdominal bulge in a standing position even when they do not contract their abdominal muscles.…”

Section: Discussionmentioning

confidence: 91%

A Proposed Classification and Treatment Algorithm for Rectus Diastasis: A Prospective Study

2022

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Background This study presents a classification system and treatment method to correct Rectus diastasis (RD) during abdominoplasty. Materials and methods One hundred and sixty seven patients undergoing abdominoplasty were enrolled between April 2014 and January 2018. Forty-three patients did not present with RD and were excluded from the analysis. Mean age was 40.32 years, mean BMI was 23.84, and minimum follow-up was 24 months. A four-type (A: mild 2–3cm, B: moderate 3–5cm, C: severe 5–7cm, and D: very severe 7–9cm) classification system is described. A different treatment method is performed in each category using continuous and interrupted absorbable sutures. Postoperatively patients filled up a questionnaire that involved the level of pain, the postoperative day they performed specific indoor/outdoor activities, and the evaluation of the aesthetic result. Results No statistically significant differences were observed between the four RD types regarding pain, complications, and return to specific activities. All types of RD had the same low rate complication profile. The seroma rate was 0.81%. The infection rate was 0.81%, and the thromboembolism and the pneumonic embolism rate was 0%. After 2–6 years of follow-up no clinical recurrence of rectus diastasis was observed. All reoperations (14.52%) were performed due to scar deformities. Mean pain score levels were very low (<1.5) and within a week most patients returned to specific indoor and outdoor activities. Most patients were extremely satisfied with the results. Conclusions In this article, we present an updated classification system and treatment protocol to provide surgeons a safe and standardized method that produces high-quality aesthetic results. Level of evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Section: Discussionmentioning

confidence: 91%

A Proposed Classification and Treatment Algorithm for Rectus Diastasis: A Prospective Study

2022

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“…The authors concluded that plication of the anterior rectus sheath with PDS sutures to correct rectus diastasis seemed to be a long-lasting procedure. 4 Reconstructive abdominal surgery already presents many dilemmas, such as whether to use the native tissues available or synthetic materials such as mesh and acellular dermal matrix. Suture selection is only one aspect of this multifaceted challenge.…”

Section: Discussionmentioning

confidence: 99%

Suture Granuloma following Ventral Herniorrhaphy

Bonni¹

2013

Am J Cosmet Surg

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Skillful wound closure requires proper knowledge of the physical characteristics of the wound; knowledge of surgical technique; and familiarity with different types of needles, sutures, and instruments to use for a specific condition. Better randomized, double-blind, and controlled studies are needed to confirm that long-lasting absorbable monofilament sutures reduce the risk of suture erosion without increasing surgical failure. There seems to be enough evidence for surgeons to use long-lasting monofilament absorbable sutures instead of permanent sutures with their potential unfavorable consequences. This should help prevent repeated surgeries, and in the case described here could have potentially avoided three extra surgeries with significant reduction of morbidity.

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“…A pesar de ser uno de los únicos artículos que utiliza sutura barbada, este estudio tiene la desventaja de ser retrospectivo y de no tener un método de control imagenológico comparable. En otro estudio de Nahas 38 , en 2011, utilizando sutura en dos planos con polidioxanona 0 en 12 pacientes sometidas a abdominoplastia con edad media de 38,6 años, no se evidencia recurrencia en tomografías realizadas a las 3 semanas y a los 40 meses. Mestak39, en 2012, realizó un estudio de casos y controles para valorar la efi cacia en el uso de suturas reabsorbibles a largo plazo.…”

Section: Clasificaciónunclassified

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2020

RACP

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Rectus Diastasis Corrected with Absorbable Suture: A Long-Term Evaluation

Abstract: Plication of the anterior rectus sheath with PDS suture to correct RD seems to be a long-lasting procedure.

Cited by 45 publications

References 15 publications

A Proposed Classification and Treatment Algorithm for Rectus Diastasis: A Prospective Study

A Proposed Classification and Treatment Algorithm for Rectus Diastasis: A Prospective Study

Suture Granuloma following Ventral Herniorrhaphy

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