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Surgical Endoscopy

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01-02-2022 | Abdominoplasty

Preaponeurotic endoscopic repair (REPA) of diastasis recti: a single surgeon’s experience

Authors: Salvatore Cuccomarino, Luca Domenico Bonomo, Fabrizio Aprà, Antonio Toscano, Alberto Jannaci

Published in: Surgical Endoscopy | Issue 2/2022

Abstract

Background

Diastasis recti is a pathology that affects not only the abdominal wall but also the stability of lumbopelvic muscles, consequently altering urinary and digestive functionality. Preaponeurotic endoscopic repair (REPA) is an endoscopic alternative to tummy tuck for the treatment of diastasis. In this study, the outcomes of REPA application by a single surgeon are presented.

Methods

A total of 172 patients underwent REPA for the treatment of diastasis recti between August 2017 and December 2019. One hundred twenty-four patients were followed for at least one year. Sixty-three patients responded to a survey on satisfaction and quality of life 12 months after surgery.

Results

Three (2.4%) recurrences occurred, of which two occurred in the same patient. The main postoperative complications observed were 12 (9.7%) seromas, 3 (2.4%) haematomas, a single wound infection, 3 (2.4%) cases of skin fold formation, and a case of trophic skin lesion that required negative pressure therapy. Quality of life after surgery, as reported by 63 patients who responded to the survey, was satisfactory.

Conclusions

REPA is a safe and effective technique for diastasis recti treatment, representing a valid alternative to abdominoplasty. Since there is no need to access the peritoneal cavity and the mesh is onlay, there are no risks of bowel damage or adhesions between the intestine and prosthesis.

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Title: Preaponeurotic endoscopic repair (REPA) of diastasis recti: a single surgeon’s experience
Authors: Salvatore Cuccomarino
Luca Domenico Bonomo
Fabrizio Aprà
Antonio Toscano
Alberto Jannaci
Publication date: 01-02-2022
Publisher: Springer US
Keywords: Abdominoplasty
Seroma
Abdominoplasty
Abdominoplasty
Diastasis Recti
Published in: Surgical Endoscopy / Issue 2/2022
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-021-08405-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Preaponeurotic endoscopic repair (REPA) of diastasis recti: a single surgeon’s experience

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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