Diagnosis and Management of Diastasis Recti
The etiology, diagnosis, and management of diastasis recti is now well understood and has demonstrated predictable and reproducible success. Multiparous women are at highest risk for developing diastasis recti. Diagnosis is easily made by clinical examination and symptomology and characterized by a midline abdominal bulge without a fascial defect. Classification systems have been proposed and based on the degree of rectus abdominis separation and myofascial deformity. Management options vary and will depend on the degree of separation between the rectus abdominis muscles. Simple plication has been effective for mild to moderate diastasis. The use of resorbable or nonresorbable mesh places as an onlay or in the retrorectus space has been effective for moderate-to-severe diastasis. The use of laparoscopic or endoscopic techniques can also be considered in select situations.
KeywordsRectus diastasis Abdominal bulge Abdominal laxity Mesh Anterior rectus sheath Postpartum Abdominal wall Diastasis recti