Diastasis recti and primary midline ventral hernia: the plastic surgery approach
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When a true hernia is encountered in the setting of rectus diastasis (RD), the hernia defect determines the appropriate treatment. Several decisions need to be made, such as whether to perform a minimally invasive or open procedure, what type of mesh to use, and the plane of mesh placement. However, it is the presence of the concomitant RD that determines the extent of mesh reinforcement beyond the hernia defect itself. This is critically important because hernia recurrence risk at the junction of the hernia defect and area of RD is very high if the RD is not adequately addressed at the time of hernia repair. The mesh must be inset, both superior to and inferior to the hernia, to stable soft tissue such as normal (non-attenuated) rectus complexes, subxiphoid tissue, or the terminal insertion of the rectus musculofascia in the suprapubic region. The plane of mesh placement is at the discretion of the surgeon based on individualized patient factors, case complexity, and their surgical...
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The authors do not have any conflicts of interest to disclose.
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This article does not contain any studies with human participants or animals performed by any of the authors.
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