Sonographic diagnosis of abdominal wall relaxation

Müller, Michael; Truong, S.; Schumpelick, Volker

doi:10.1002/(sici)1097-0096(199905)27:4<183::aid-jcu3>3.3.co;2-9

Cited by 2 publications

(3 citation statements)

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“…Ultrasonography has been proposed as a non invasive technique that may be repeated several times. It is used for the diagnosis of hernias, quantification of intra-abdominal fat and to diagnose abdominal wall relaxation [9][10][11] . Ultrasound has also been used to access long term durability of rectus sheath repair 11 .…”

Section: Introductionmentioning

confidence: 99%

“…It is used for the diagnosis of hernias, quantification of intra-abdominal fat and to diagnose abdominal wall relaxation [9][10][11] . Ultrasound has also been used to access long term durability of rectus sheath repair 11 . On the other hand, a correct evaluation depends on the examiner training, the quality of the image may be harmed by interposed fat and fibrosis and ultrasound has a small field of view as compared to computed tomography or magnetic resonance imaging.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasonography for measuring rectus abdominis muscles diastasis

et al. 2007

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Purpose: Preoperative imaging evaluation may be useful for determining the position of recti abdominis muscles before their correction. The purpose of this study is to evaluate the accuracy of ultrasonography to measure the width of rectus abdominis muscle diastasis. Methods: Rectus diastasis was measured by ultrasonography preoperatively in 20 females. Rectus diastasis was measured in seven levels along the anterior rectus sheath by ultrasound after sustained deep inspiration and after expiration. Rectus diastasis, at the same levels, was also measured after its exposition during abdominoplasty by two independent observers, using a surgical compass. These values were compared using Wilcoxon's statistical text, for non independent values. Results: There was no significant difference between the values obtained by ultrasound and those measured during surgery in the supra-umbilical levels and at the level of the umbilicus. However, below the umbilicus these values differed significantly, showing smaller values in the imaging evaluation. Conclusion: Ultrasonography is an accurate method to measure rectus diastasis above the umbilicus and at the umbilical level. Key words: Abdominal Wall. Abdominal Muscles. Ultrasonography. Diagnostic Imaging. Surgery, Plastic. Rectus Abdominis. RESUMO Objetivo:Estudos radiológicos pré-operatórios podem ser úteis para determinar a posição dos músculos retos do abdome antes de sua correção. O objetivo deste estudo é avaliar a acurácia da ultra-sonografia para medir a largura da diástase dos músculos retos do abdome. Métodos: A diástase dos músculos retos foi medida pela ultra-sonografia, no pré-operatório em 20 mulheres. A diástase dos retos foi medida em sete níveis da bainha anterior dos retos foram examinados com ultrasom após inspiração profunda sustentada e após expiração. A diástase dos retos, nos mesmos níveis, foi também medida após sua exposição durante a abdominoplastia, por dois observadores independentes, usando compasso cirúrgico. As medidas foram comparadas usando o teste estatístico de Wilcoxon para dados não independentes. Resultados: Não houve diferença significante entre as medidas ultra-sonográficas e intra-operatórias nos níveis supra-umbilicais e na cicatriz umbilical. Todavia, inferiormente à cicatriz umbilical, essas medidas diferiram significantemente sendo as ultrasonográficas menores nestes pontos. Conclusão: A ultra-sonografia é um método acurado para medir a diástase de retos na região supra-umbilical e no nível do umbigo.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ultrasonography for measuring rectus abdominis muscles diastasis

et al. 2007

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“…A relaxation of the abdominal wall has been reported in herpes zoster and in surgical nerve injuries (i.e., as after kidney surgery) but only when all three horizontal muscles of the abdominal wall (i.e., the internal and external oblique and the transversus abdominis) are denervated and atrophic. 5 Hence, the bulge in our patient was due to a segmental abdominal paresis from a motor block of a right thoracolumbar nerve, most likely T 10 . The motor block may have been favoured by subclinical agerelated neuropathy which increases sensitivity to local anesthetic.…”

Section: To the Editormentioning

confidence: 80%