Index Copernicus IC Value: 85.42
International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

     
Case Series
 
Laparoscopic plication and mesh repair for diastasis recti: A case series
Manash Ranjan Sahoo1, Kumar A.T.2
1MS, Associate Professor, Department of Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
2Post Graduate, Department of Surgery, S.C.B. Medical College, Cuttack, Odisha, India.

doi:10.5348/ijcri-201460-CS-10046

Address correspondence to:
Manash Ranjan Sahoo
Mailing Address: Orissa Nursing Home
Medical road, Ranihat, Cuttack
Odisha
India. Postal Code: 753007
Phone: +919937025779
Fax: 0671-2414034
Email: manash67@gmail.com

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How to cite this article
Sahoo MR, Kumar AT. Laparoscopic plication and mesh repair for diastasis recti: A case series. Int J Case Rep Images 2014;5(9):610–613.


Abstract
Introduction: Diastasis recti is a disorder defined as a separation of the rectus abdominis muscle into right and left halves which occurs principally in newborns and pregnant women. Reports on laparoscopic repair are rare. Usually, the patients themselves request treatment. We here present a series of three patients who underwent laparoscopic repair for diastasis recti.
Case Series: Three patients, all female, presented with something bulging out of the abdomen with no other symptoms. All were multiparous. Laparoscopically, linea alba was plicated in the midline after taking simple horizontal sutures all along the defect from xiphisternum to just below umbilical region creating a neo-linea alba. Then a tissue separating mesh was used to reinforce the plication either using tackers or transfascial sutures. Postoperatively, there was significant decrease in abdominal girth and patients complained of pain which decreased in 3–4 days and tightness in the abdomen which gradually reduced with time after discharge.
Conclusion: Laparoscopic plication of linea alba and placement of prosthetic mesh is very promising, safe operation for diastasis recti and could be the future for treatment of the same.

Keywords: Diastasis recti, Laparoscopic plication, Linea alba, Tissue separating mesh


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Author Contributions:
Manash Ranjan Sahoo – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Kumar A.T. – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Manash Ranjan Sahoo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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