Abdominal diastasis: what is it?
La abdominal diastasis - o diastasis recti - is a pathology that is still little known in Italy. In this article you will find all the explanations on what the diastasis rectiwho suffers from it, what other diseases it is associated with and on what principles the REPAour now well-known endoscopic intervention for minimally invasive treatment of abdominal diastasis.
Rectum diastasis and REPA: why use the network?
In the classic intervention to repair the abdominal diastasisabdominoplasty made by plastic surgeons, the net is hardly ever used. At REPAOn the other hand, the placement of a mesh is one of the crucial steps of the operation: this has made it possible to reduce diastasis recurrences (reported in some abdominoplasty cases above 20%) to less than 1% for REPA.
Bloated belly after abdominal diastasis surgery
Rectus diastasis and back pain
Rectus diastasis and urinary incontinence
Another serious condition often associated with diastasis recti is theurinary incontinence. But why do women (this is an exclusively fenninile problem) with abdominal diastasis suffer from it? The explanation is in the following article.
Abdominal diastasis and postoperative physiotherapy
As my patients undergoing REPAin my treatment programme of the
diastasis recti the postoperative physiotherapy plays a key role (the 50% of success, I often tell people who come to the studio). Together with the Dr Federica Crivellaro we have developed, FIRST IN ITALY AND EUROPE, a postoperative physiotherapy protocol based on the hypopressive gymnastics to restore proper tone and contractility to the abdominal muscles.
Rectus diastasis surgery: robot or REPA?
One of the minimally invasive surgical techniques most touted today for the treatment of diastasis of the rectus is that robotics. In the following article, I explain why it is such a minimally invasive and appropriate procedure for abdominal diastasis surgery.
Other minimally invasive techniques: are they indicated?
The robotic approach is not the only minimally invasive technique indicated today for the surgery of diastasis of rectimany others have been proposed, almost all based on the Rives technique. But what are they? Are they really minimally invasive techniques? And are they really effective?
What are the results of REPA?
We have so far discussed surgical techniques and symptoms associated with the abdominal diastasis: but what are the results of the REPA? A multicentre study that, together with ten other surgical centres around the world, we published in April 2019 tells us.
Rectus diastasis and general surgery
The surgical treatment of abdominal diastasis has always been the heritage of Surgeons
plastic surgeons, who saw the arrival of Dr. Cuccomarino, a general surgeon specialising in abdominal wall surgery, and his REPA. In this article I explain why the diastasis recti is indeed bread and butter for the general surgeon, even more so than for the plastic surgeon.
The REPA video
Botulinum toxin and diastasis of the rectum
For us Surgeons around the world we make the REPA it is very clear the principle that the approximation of the rectus muscles to the midline of the abdomen must take place with a suture that is not under tension, otherwise the risk of recurrence of the abdominal diastasis. But if the diastasis recti is very large, it is very difficult to suture the muscles without tension. For this reason, based on experience in large laparocele surgery, we have introduced, with excellent results, the use of the botulinum toxin A preoperative in patients with abdominal diastasis.
REPA and quality of life: what changes after surgery?
Patients who come to my practice, often after having been through two or three other surgeons and having heard the most varied opinions on diastasis and how to operate on it, are, even if informed, often very confused. They only know one thing: that their quality of life is severely compromised by diastasis; lumbago, meteorism, urinary incontinence, losing their normal appearance are all things that have severely compromised their existence. So the first question I am called upon to answer is: Doctor, what changes after surgery? Let's see what already operated patients think about it: here are the data of a survey conducted on patients with postoperative follow-up from 6 to 26 months.