Monday 3 October 2016

The Effectiveness of Polypropylene Mesh in the Open and Laparoscopic Repair of Divarication of the Recti

Divarication of the recti (Diastasis recti) is the separation of the rectus abdominis muscle into right and left halves (a gap of roughly 2.7 cm or greater), usually due to thinning and stretching of the linea alba resulting from various reasons.

Polypropylene Mesh
Typically, the two sides of the muscle are joined at the linea alba at the body midline. Divarication of the recti would appear as a long ridge extending down the abdominal midline from the xiphoid process to the umbilicus. It will become more prominent with straining and may disappear when the abdominal muscles are relaxed.

It is reported to be more common in multiparous women (about 66%) due to the repeated episodes of stretching [1,2].The most common reported etiologic factors include chronic or intermittent abdominal distension, advancing age, or familial weakness of the abdominal musculofascial tissues.

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