La Endoscopic rectus diastasis surgery, o REPA - Pre-Aponeurotic Endoscopic Repair, a technique developed a few years ago by an Argentinian surgeon, my friend Derlin Juarez Muas - is now also a reality in Italyand gives a solution to a serious problemand felt as such by many women, without having to undergo a highly invasive operation such as abdominoplasty. Via three small holes (one about 12 mm, two about 5 mm) my group is able to repair a diastasis of the rectus abdominis musclesreconstructing the midline by suturing their anterior fascia, and reinforcing the abdominal wall with a networkall with surgical incisions so small that they leave almost no trace. "Cirugía sin huellas'.my Spanish friends call it: surgery without impressions. Gentle surgery, I would say.
The video is of one of the last patients I operated on; watch out: intra-operative sequences are not for weak heartsalthough, as you will see, bleeding is minimal and the surgical field is always perfectly clean!
Lo very little bleeding, the very small surgical incisions and the use of a appropriate network make this intervention truly minimally invasivewith very moderate postoperative pain and return home as early as the day after surgery. The operation is indicated in all cases of diastasis rectibut especially in those patients who, not having excess skin, could not enjoy the only advantage of classic abdominoplasty (i.e. dermolipectomy, or removal of excess skin and subcutaneous fatty tissue).