Analysis of the course of the early postoperative period in patients with diastasis of the rectus abdominis after different methods of its surgical correction

Abstract

Objective. To compare the indicators of the early postoperative period in patients with diastasis of the rectus abdominis after suture plication and after mesh implantation. Materials and methods. The study included 120 patients with diastasis of the rectus abdominis muscles. In 60 patients (group 1), a suture was used to correct the diastasis, and in another 60 patients (group 2), a prolene mesh was used. Results. The regression of pain in patients of group 1 on the 1st and 3rd postoperative days was more dynamic than in patients of group 2: pain decreased by 3.0 and 2.5 times, respectively. Mesh placement increased the risk of hyperthermia by 61%. The number of patients with complications in the groups was not statistically significant (p=0.265), but the difference between the number of patients with several complications was statistically significant (p=0.018). The use of mesh increased the risk of seroma by 64% (p=0.046), haematoma by 19% (p=0.819), wound infection by 36% (p=0.741), and paresthesia by 64% (p=0.025). Conclusions. The correction of diastasis of the rectus abdominis muscles with a suture is more acceptable than the correction with the help of mesh placement.