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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.

What is diastasis of the rectus and how is it treated?


Rectum diastasis and REPA: why use the network?

In the classic intervention to repair the abdominal diastasisabdominoplastynetwork, rectus diastasis, REPA 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.

The use of mesh in abdominal rectus diastasis


Bloated belly after abdominal diastasis surgery

Unfortunately, there are cases where, after therectus diastasis surgery, the belly remains Abdominal diastasis, bloated belly, meteorismswollen. Why? Was it a surgeon's error? No: this article explains the reasons and possible solutions.

Bloated belly... when Nature prevails over the Surgeon


Rectus diastasis and back pain

The back pain is one of the most frequent and disabling symptoms of diastasis recti. You want back pain, rectus diastasis, REPA, Cuccomarinoknow why those who have the abdominal diastasis has, very often, back pain? Read this article.

Rectus diastasis and back pain


Rectus diastasis and urinary incontinence

Another serious condition often associated with diastasis recti is theurinary incontinence. faecal incontinence,urinary incontinence,Kegel exercises,pelvic floorBut why do women (this is an exclusively fenninile problem) with abdominal diastasis suffer from it? The explanation is in the following article.

Urinary incontinence and rectus diastasis


Abdominal diastasis and postoperative physiotherapy

As my patients undergoing REPAin my treatment programme of the

hypopressive gymnastics, hypopressive gymnastics and rectus diastasis, REPA, rectus diastasis, Cuccomarino

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.

Hypopressive gymnastics for REPA: our protocol


Rectus diastasis surgery: robot or REPA?

One of the minimally invasive surgical techniques most touted today for the treatment of diastasis surgery, roboto, robotics, REPA, fact checkingdiastasis 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.

Robot rectus diastasis and REPA - comparing techniques


Other minimally invasive techniques: are they indicated?

The robotic approach is not the only minimally invasive technique indicated today for the surgeryendoscopic rectus diastasis surgery, endoscopic rectus diastasis surgery, REPA 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?

Endoscopic rectus diastasis surgery: which technique?


What are the results of REPA?

We have so far discussed surgical techniques and symptoms associated with the abdominal diastasis: butREPA the multicentre study, REPA Cuccomarino, diastasis of the rectus, REPA 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.

REPA: multicentre study proves its effectiveness


Rectus diastasis and general surgery

The surgical treatment of abdominal diastasis has always been the heritage of Surgeons

rectus diastasis, abdominal diastasis, REPA

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.

This is why a wall surgeon should operate rectus diastasis


The REPA video

In the classified section of my site you will find a nice video of the REPA (warning... not for hearts ofrectus diastasis, endoscopic rectus diastasis surgery rabbit!)

Endoscopic rectus diastasis surgery: the 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 theanal fissure, anal fissure, anal pain, botulinum toxin 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.

Botulinum toxin A in laparocele surgery


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.

What changes after abdominal diastasis surgery?


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