It is not us saying this: it is the guidelines for the treatment of diastasis of the rectus published by the European Hernia Society and the Sociedad Hispanoamericana de Herniathe two leading European societies dealing with abdominal wall surgery.
In particular, the European Hernia Society ruled that "a mesh-based repair of RD with concomitant midline hernias is suggested" and that "the endoscopic subcutaneous dissection followed by linea alba plication with an onlay mesh was the most reported technique": i.e., that to repair a diastasis with associated midline hernia (over 98% of diastasis cases) the use of a mesh is suggested and that REPA (or SCOLA) is the most widely used technique.
La Sociedad Hispanoamericana de HerniaOn the other hand, in its guidelines on the treatment of diastasis it writes: 'el abordaje endoscópico es aconsejable, excepto cuando se precise una abdominoplastia (consensus: 100 %; grade C). La técnica REPA se socia con mejores resultados respecto a las opciones miniinvasvasas o mixtas". That is, cons recommends the endoscopic approach for the treatment of diastasis, unless an abdominoplasty is required, and recognises that REPA provides better results than other minimally invasive techniques.