Abdominal Rectus Divarication
Abdominal Rectus Divarication (Diastasis) with or without Hernia
Common after Pregnancy and requires Surgery

What is Abdominal Rectus Divarication
What is the cause of Divarication of Recti?
Treatment Options available for Divarication of Recti
What are the signs and symptoms?
- The signs and symptoms include abdominal pain and discomfort, musculoskeletal and urogynaecology issues, negative body image, and reduced quality of life.
- There may be an associated hernia with this condition. Hernias usually associated are epigastric or umbilical hernias.
- Umbilical or epigastric hernias, discomfort when touching the abdominal wall, unsteadiness on one’s feet, and a sense of losing one’s functional “core” can all be connected with divarication of recti.
- Some patients who have severe rectus divarication experience back pain, which may be caused by this loss of core stability.
- Even in people who are extremely thin, pregnancy-induced rectus divarication can significantly alter the contour of the abdominal wall.
- Males’ rectus divarication differs from that of females, manifesting as a midline protrusion between the xiphoid and the umbilicus.

Open Surgery
Laparoscopic Surgery
Laparoscopic Surgery mainly involves making three tiny incisions on the belly and plication, or tightening, the abdominal wall from the inside. The insertion of an intra-abdominal mesh, which is secured in place by tiny tacks, is then used to enhance this tightening. If there is a hernia in addition to the diastasis, this approach is typically favoured. The recovery process following surgery is the same as it is for open surgery, however a mesh is typically employed and is placed inside the abdominal cavity.
Robotic Surgery
Recurrence

Repair of Divarication of Recti in patients with lax abdominal wall
In some patients with divarication of recti, manly women, there is immense laxity of the abdominal wall. In these patients abdominoplasty is offered as a part of the procedure. Thus after the divarication and hernia are repaired, mesh is inserted, the lax extra part of the lower abdominal wall is removed. The lower end is sutured in the bikini line and a new umbilicus is created at the intended spot. This of course is done as an open procedure, but there is no midline incision. The recovery is almost similar to the above procedures, though the incision can have issues like infection or small dehiscence or dermal loss of skin. These issues are easily manageable and the patient has a better looking abdominal wall.