Prospective observational study of abdominal wall reconstruction with THT technique in primary midline defects with diastasis recti: clinical and functional outcomes in 110 consecutive patients

Carrara, Alessandro; Catarci, Marco; Fabris, Luca; Zuolo, Michele; Pellecchia, Luigi; Moscatelli, P; Dorna, A.; Motter, Michele; Pertile, Riccardo; Tirone, Giuseppe

doi:10.1007/s00464-020-07997-4

Cited by 16 publications

(26 citation statements)

References 37 publications

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“…The review of current literature identified 264 studies, of which 10 studies met the inclusion criteria [19][20][21][22][23][24][25][26][27][28], Fig. 1.…”

Section: Resultsmentioning

confidence: 99%

“…1. The reports fulfilling these criteria included two randomized controlled studies (RCTs) [21,28] and eight prospective cohort studies [19,20,[22][23][24][25][26][27].…”

Section: Resultsmentioning

confidence: 99%

“…Five of the prospective cohort studies on open repair used absorbable sutures in one case [ 23 ] and non-absorbable sutures in three cases [ 24 , 25 , 27 ], while one study did not report data on suture material [ 26 ]. Three studies analysed laparoscopic repairs, one used stapling closure of the anterior rectus sheets combined with sublay mesh reinforcement [ 20 ]; one used stapling closure of the posterior rectus sheets combined with sublay mesh reinforcement [ 22 ]; and the third used suture repair of the anterior rectus sheets combined with onlay mesh reinforcement [ 19 ], Table 2 .…”

Section: Resultsmentioning

confidence: 99%

“…Five studies reported a significant decrease in back pain [ 19 , 20 , 22 , 26 , 27 ]. Bellido et al assessed back pain using a Visual Analogic Scale, preoperatively and 12 months after surgery.…”

Section: Resultsmentioning

confidence: 99%

“…Back pain was rated on a Visual Analogic Scale preoperatively and 12 months after surgery. Carrara et al [20], from the General Surgery Unit at Ospedale Santa Chiara in Trento, Italy, presented a prospective observational study on 110 consecutive patients with midline hernias combined with rectus diastasis in 2020. Surgical procedure was performed with laparoscopic approach with a stapler closure of the posterior rectus sheets combined with a retromuscular mesh reinforcement, the THT technique [29].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Evaluation of functional outcomes following rectus diastasis repair—an up-to-date literature review

Olsson

Kiwanuka

Sandblom

et al. 2021

Hernia

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Introduction Over the last decade rectus diastasis has gained attention as a condition that may benefit from surgery. Numerous surgical techniques have been presented but scientifically proper studies reporting functional outcome are few and evidence is incomplete. The aim of this up-to-date review is to analyse the outcomes of rectus diastasis repair in recently published papers, focusing on functional changes following surgery. Method A comprehensive search in PubMed and Web of Science was performed. Suitable papers were selected using titles and abstracts with terms suggesting surgical treatment of rectus diastasis. All abstracts were scrutinised, and irrelevant studies excluded in four stages. Reports providing original data, including outcome assessment following surgery, were included. Result Ten papers with a total of 780 patients were found to fulfil the search criteria. Study design, surgical procedure, follow-up time, functional outcome and assessment instruments were compiled. All included studies reported improvements in a variety of functional aspects regardless of surgical method. The outcomes assessed include core stability, back pain, abdominal pain, posture, urinary incontinence, abdominal muscle strength and quality of life. Conclusion The results of this review show that surgical repair of rectus diastasis is a safe and effective treatment that improves functional disability. However, the absence of standardized instruments for assessing outcome makes it impossible to compare studies. Since indications for surgery are relative and related to core function, valid instruments for assessing indication and outcome are needed to ensure benefit of the procedure.

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“…The review of current literature identified 264 studies, of which 10 studies met the inclusion criteria [19][20][21][22][23][24][25][26][27][28], Fig. 1.…”

Section: Resultsmentioning

confidence: 99%

“…1. The reports fulfilling these criteria included two randomized controlled studies (RCTs) [21,28] and eight prospective cohort studies [19,20,[22][23][24][25][26][27].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Evaluation of functional outcomes following rectus diastasis repair—an up-to-date literature review

Olsson

Kiwanuka

Sandblom

et al. 2021

Hernia

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Robotische Versorgung der Rektusdiastase

Malcher,

Sreeramoju,

Lima

2024

Roboterassistierte Hernienchirurgie

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Open Versus Laparoscopic Surgical Management of Rectus Diastasis: Systematic Review and Pooled Analysis of Complications and Recurrence Rates

et al. 2022

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Background Rectus diastasis (RD) is defined as widening of the linea alba and laxity of the abdominal muscles. It can be treated via a wide array of both conservative and surgical modalities. Due to the quickly evolving nature of this field coupled with the multiple novel surgical modalities described recently, there is a need for an updated review of surgical techniques and a quantitative analysis of complications and recurrence rates. Methods A systematic review of PUBMED and EMBASE databases was preformed to retrieve all clinical studies describing surgical management of RD. Pooled analyses were preformed to assess recurrence and complication rates after both open and laparoscopic RD repairs (after controlling for herniorrhaphy). Results A total of 56 papers were included in this review. In patients who underwent both an RD and a herniorrhaphy, there was no significant difference in recurrence rates between open (0.86%) and laparoscopic repairs (1.6%) (p > 0.05). Similarly, in patients who underwent RD repair without a herniorrhaphy, there was no significant difference in recurrence rates between open (0.89%) and laparoscopic repairs (0%) (p > 0.05). The most common complications reported were seroma, skin dehiscence, hematoma/post‐operative bleeding, and infection. After controlling for a herniorrhaphy, there were no significant difference in total complication rates between open and laparoscopic RD repair. The total complication rates in patients who underwent an open RD repair with a herniorrhaphy were 13.3% compared to 14.5% in patients who underwent laparoscopic repairs (p > 0.05). Similarly, the total complication rates in patients who underwent RD repair without a herniorrhaphy were 11.8% in patients who underwent open repairs compared to 16.2% in their counterparts who underwent laparoscopic repairs (p > 0.05). Conclusion Both open and laparoscopic approaches are safe and effective in repairing RD in patients with and without concurrent herniorrhaphy. Future research should report patient reported outcomes to better differentiate between different surgical approaches.

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Prospective observational study of abdominal wall reconstruction with THT technique in primary midline defects with diastasis recti: clinical and functional outcomes in 110 consecutive patients

Cited by 16 publications

References 37 publications

Evaluation of functional outcomes following rectus diastasis repair—an up-to-date literature review

Evaluation of functional outcomes following rectus diastasis repair—an up-to-date literature review

Robotische Versorgung der Rektusdiastase

Open Versus Laparoscopic Surgical Management of Rectus Diastasis: Systematic Review and Pooled Analysis of Complications and Recurrence Rates

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