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Diastasis recti: surgery without scars!

La diastasis recti, o abdominal diastasisrepresents a real abdominal wall pathology which profoundly affects both its function and the function of the back muscles and the pelvic floor.

The first, most obvious manifestation of the diastasis recti has more of a aesthetic character than pathological: the abdomen tends to swellas if the patients were still pregnant, and the typical 'fin' appears or, less frequently, a 'split' (or 'ab-crack') of the abdominal wall.

rectus diastasis, pinna, abdominal diastasis

The typical 'fin' of diastasis recti

abdominal diastasis, ab-crack, rectus diastasis, preoperative

Here is an example of 'Ab-crack'.

The other events of the abdominal diastasis are far more disabling, and seriously impair the quality of life of patients: lumbago that does not pass with medication, occurrence of stress urinary incontinence, digestive difficulties, abdominal pain, pelvic floor instabilityup to, in the most serious cases, the appearance of faecal incontinence.

rectus diastasis man, abdominal diastasis man

Men can also suffer from diastasis rectipresents in these cases with the typical 'fin', abdominal bloating and back pain and is more frequent in patients in overweight, with advancing age or in those who perform particularly intense physical and sporting activities.


The only definitive solution for abdominal diastasis is surgeryPhysiotherapy techniques can help strengthen the tone of the abdominal wall muscles and are of fundamental importance in post-operative recovery, but alone are of no use in the treatment of this disease.

Before the advent of the minimally invasive surgerythe surgical technique used for the treatment of diastasis recti was theabdominoplastyHowever, today abdominoplasty must be reserved for selected cases only - in particular, to patients in whom theremoval of an fat apron or of excess skin - for several reasons:

- L'high rate of recurrencesWithout the use of the net, recurrences of diastasis can reach 40%;

- The postoperative complicationseven if not frequent, the necrosis of the umbilicus and the lower skin flap are possible and dreaded complications.

Le laparo-edoscopic surgical techniques have marked a genuine revolution at treatment of abdominal diastasis since they are characterised by a much more stable repair of the wall through the use of large, lightweight nets, a much faster recovery, less postoperative pain and the very low incidence of complicationsleaving some minimal scarring.

Of these techniques the REPA (Endoscopic Pre Aponeurotic Repair) is the less invasive, the more effective and today the most used in the world for the repair of diastasis of the rectus. Through 3 small incisions immediately above the pubis and below the 'sun line'. the recti muscles are repaired, relocating them to their correct position, and alarge ultralight mesh covering and reinforcing the entire abdominal wall reducing recurrences extremely significantly (below 1%).

The Dr. Salvatore Cuccomarino was the first to perform REPA in Europe in 2017and holds over 250 patients operated on today, the world's largest case history of this surgeryas well as having contributed numerous studies and scientific publications to its development.

Brilliant are the aesthetic results of REPAhere are some examples of what we call thealbum of wonders of this extraordinary surgical technique. These are photographs taken by the patients themselves, no Photoshop!

The pictures depict some patients who photographed themselves before and after surgery.

To contact us...

Do you have diastasis of the rectus and want to book a visit with Dr Cuccomarino? Go to our booking page!

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