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Rectus abdominis diastasis is a condition in which the rectus abdominis muscles separate due to a weakness in the midline connective tissue. This separation can cause a bulge in the abdomen and weakening of the abdominal wall and symptoms such as abdominal pain, back pain and postural problems as well as consequences associated with abdominal diastasis. Laparoscopic surgery is a highly effective and minimally invasive procedure to correct this condition, allowing a faster and less painful recovery for patients.
Diastasis recti refers to the separation of the rectus abdominis muscles. This separation can be caused by pregnancy, obesity, muscle weakness or aging. Symptoms may include a bulge in the abdomen, pain or weakness in the abdominal area, and postural problems. It is important to diagnose and treat this condition to restore abdominal function and improve the patient’s quality of life.
Laparoscopic surgery is a surgical technique that uses small incisions and a camera to perform the procedure. It has numerous benefits compared to open surgery, such as less postoperative pain, lower risk of infection, shorter hospitalization time and faster recovery. In the case of rectus abdominis diastasis, laparoscopic surgery allows precise correction of muscle separation and a satisfactory aesthetic result without leaving large scars. Therefore, it is a key option to address this condition and improve the quality of life of patients.
Preparation for surgery is a crucial step to ensure the success of the procedure. Several preoperative studies should be performed to evaluate the patient’s health status, such as blood tests, electrocardiogram and X-rays. In addition, a detailed clinical evaluation will be performed to learn about the patient’s medical history and to rule out possible contraindications. It is also important to inform the patient about the risks and benefits of surgery, as well as postoperative expectations and care. Physical preparation of the patient includes restricting food and fluid intake in the hours prior to surgery. Likewise, it should be ensured that the patient is in optimal condition for surgery, avoiding the consumption of medications that may interfere with anesthesia or blood coagulation.
The preoperative evaluation is fundamental to determine if the patient is a suitable candidate for laparoscopic rectus abdominis diastasis surgery. During this stage, aspects such as general health status, the existence of concomitant diseases, the quality of the skin and abdominal tissue, and the presence of hernias or other abnormalities will be evaluated. Preoperative tests will also be performed to evaluate renal, liver and cardiovascular function, as well as blood tests and coagulation tests. Based on these results, it will be determined whether the patient is in optimal condition for surgery and the necessary measures will be taken to minimize potential risks.
Surgical planning is an essential step prior to performing laparoscopic rectus abdominis diastasis surgery. During this process, the preoperative evaluation reports will be reviewed and a thorough physical evaluation of the patient will be performed. The appropriate type of incision will be determined, the surgical technique to be used and the plan to reinforce the abdominal wall will be established. In addition, each patient’s individual characteristics, such as muscle tone, amount of fatty tissue and presence of hernias, will be taken into account to ensure an optimal outcome. Surgical planning also includes the selection of the materials and equipment necessary for the procedure, as well as coordination with the medical and nursing team.
Patient preparation is essential before undergoing laparoscopic rectus abdominis diastasis surgery. The patient will be given detailed information about the surgery, including the risks, benefits and postoperative expectations. In addition, the patient will be instructed to avoid eating or drinking in the hours prior to surgery, following the specific indications of the medical team. The patient will also be advised to perform light physical activities to strengthen the abdominal muscles prior to surgery, which will contribute to a better postoperative recovery. The patient will also be given instructions on the medication to be taken before and after the procedure, as well as on the clothing and personal items to be worn on the day of the surgery.
The surgical procedure for rectus abdominis diastasis by laparoscopy is a minimally invasive and safe technique. It consists of correcting the separation of the rectus abdominis muscles, which are weakened due to various factors such as pregnancy or aging. The surgery is performed under general anesthesia and the patient is placed in a supine position, with the arms extended and the body slightly tilted backwards. Through small incisions in the abdomen, a camera and the necessary surgical instruments are introduced for the procedure, which consists of closing the separation of the rectus abdominis muscles and strengthening them, improving their function and aesthetic appearance.
The anesthesia used for laparoscopic rectus abdominis diastasis surgery is general anesthesia, which allows the patient to be completely asleep and pain-free during the procedure. To ensure proper visibility and access to the abdominal area, the patient is placed in a supine position, with the arms extended to the sides and slightly tilted backwards. This position facilitates the surgeon’s work and ensures the patient’s comfort during the entire procedure.
Laparoscopic access is a technique that allows surgery to be performed without the need for large incisions in the abdomen. In the case of rectus abdominis diastasis surgery, small incisions are made in the umbilicus area and in other strategic points of the abdomen. Through these incisions, surgical instruments and a laparoscopic camera are introduced, allowing the surgeon to visualize the work area on a monitor. This minimally invasive approach reduces postoperative pain, accelerates recovery and provides excellent esthetic results.
During surgery for rectus abdominis diastasis, reduction of the rectus abdominis muscles is performed, i.e. the separated muscles are brought closer together and sutured. This is achieved through the use of very strong sutures specific for this purpose. The surgeon uses laparoscopic instruments to perform the sutures with precision and ensure a firm union of the tissues. This step is crucial to restore the functionality and aesthetic appearance of the abdominal muscles, improving posture and eliminating the characteristic bulging of diastasis.
Abdominal wall strengthening is an important step in the surgical procedure for diastasis recti. To achieve this, different techniques and materials are used to provide support and stability to the abdominal wall. Among the options available are polypropylene meshes, which are placed in the area of diastasis to strengthen the tissues and prevent recurrence. These meshes are safe and biocompatible, promoting proper tissue healing and a long-lasting result. The reinforcement of the abdominal wall ensures the strength and structure necessary for optimal recovery and an aesthetic abdominal appearance.
After laparoscopic rectus abdominis diastasis surgery, the postoperative period is a fundamental stage in the patient’s recovery. During this phase, constant follow-up should be carried out to evaluate the patient’s evolution and progress. Regular visits to the doctor will be made to monitor wound healing and verify that there are no complications. In addition, clear and detailed instructions will be provided to the patient on the necessary postoperative care, such as surgical wound hygiene and dressing changes. Advice will also be given on appropriate physical activity and necessary restrictions to allow proper healing and prevent the development of complications.
Recovery after laparoscopic rectus abdominis diastasis surgery varies from patient to patient, but in general it can be expected that most people will need at least 2 to 4 weeks of rest and recovery time. During this period, it is important to follow medical recommendations and limit strenuous physical activity. Periodic follow-up visits will be made to assess healing, progress and address any questions or concerns that may arise. Adherence to medical advice and compliance with rehabilitation are critical to a successful recovery and to achieve the best long-term results.
Surgical wound care after laparoscopic rectus abdominis diastasis surgery is essential for proper healing and prevention of complications. Specific instructions will be provided to the patient on how to properly clean and care for the wound. It is important to keep the wound clean and dry as directed by the physician. Regular dressing changes may be required and it is advisable to avoid immersion baths for the first few weeks after surgery. If any signs of infection are observed, such as redness, swelling or discharge, the physician should be informed immediately for appropriate treatment.
After laparoscopic rectus abdominis diastasis surgery, it is important to follow the medical recommendations on physical activity and restrictions. During the first few weeks, any strenuous physical activity, heavy lifting and excessive exertion that may compromise wound healing and abdominal wall strengthening should be avoided. It may be recommended to start with low-impact exercises and gradually increase the intensity as the patient progresses. Each person has a unique recovery process, so it is crucial to listen to the body and respect the limits to avoid any complications. The physician will provide clear and personalized guidelines to ensure a safe and successful recovery.