scholarly journals Diastasis recti

2022 ◽  
Author(s):  
Mohammad Taghi Niknejad
Keyword(s):  
Diastasis Recti

Diastasis Recti: Clinical Anatomy

2008 ◽  
Vol 122 (5) ◽  
pp. 1564-1569 ◽  
Author(s):  
Daniel Brauman
Keyword(s):  
Clinical Anatomy ◽  
Diastasis Recti

Ptosis of eyelids, strabismus, diastasis recti, hip defect, cryptorchidism, and developmental delay in two sibs

1989 ◽  
Vol 33 (2) ◽  
pp. 186-189 ◽  
Author(s):  
Franco Carnevale ◽  
Grazyna Krajewska ◽  
Rita Fischetto ◽  
Maria Grazia Greco ◽  
Angelica Bonvino
Keyword(s):  
Developmental Delay ◽  
Diastasis Recti

scholarly journals KOGNITIF BIDAN TERHADAP PEMERIKSAAN DIASTASIS RECTI PADA IBU NIFAS

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Nurun Ayati Khasanah ◽  
Ferilia Adiesti ◽  
Citra Adityarini Safitri
Keyword(s):  
Random Sampling ◽  
Post Partum ◽  
Simple Random Sampling ◽  
Rectus Abdominis ◽  
Cross Sectional ◽  
Exact Test ◽  
Fisher's Exact Test ◽  
Diastasis Recti ◽  
Fisher’S Exact Test

Diastasis rectus abdominis dapat terjadi kapanpun pada ibu hamil trimester dua, dampaknya pada ibu post partum yang mengalami diastasis rectus abdominis adalah melemahnya dinding abdomen, mengurangi kontraksi kekuatan otot abdomen dan kestabilan pelvis. Risiko seorang perempuan mengalami diastasis recti  ini jauh lebih besar jika ukuran tubuhnya tergolong kecil, mengandung janin kembar, hamil pada usia 35 tahun ke atas, serta berat janin yang besar.Tujuan penelitian ini untuk mengetahui Hubungan kognitif terhadap pemeriksaan diastasis recti pada ibu nifas .Penelitian ini menggunakan pendekatan cross sectional . Populasi pada penelitian ini adalah seluruh tenaga kesehatan ( bidan ) di wilayah kerja  UPT Puskesmas Bangsal Kabupaten Mojokerto. Sampel penelitian ini adalah   sebagian tenaga kesehatan ( bidan ) yang ada  di wilayah kerja UPT Puskesmas Bangsal Kabupaten Mojokerto, jumlah sampel 23 orang . pengambilan sampel pada penelitian adalah simple random sampling dilkasanakan pada bulan Agustus – November 2020. Instrumen  pada penelitian menggunakan kuisioner , kemudian dianalisis secara univariat dan bivariat . untuk mengetahui hubungan menggunakan Analisis statistik  Fisher’s Exact Test. Berdasarkan hasil penelitian bahwa sebagian besar responden memiliki kognitif yang baik  sebanyak 13 ( 56.53 %)dan sebagian besar melakukan pemeriksaan diastasis recti  sebanyak 17 ( 73.92%) responden .Berdasarkan uji Analisis Fisher's Exact Test dengan tingkat kemaknaan ( α< 0.05) didapatkan nilai (α = 0,022)  menunjukkan  bahwa ada hubungan kognitif  dengan  pemeriksaan diastasis recti pada ibu nifas .Pengetahuan didapat dari informasi sepanjang hidup seseorang. Pengetahuan tenaga kesehatan ( bidan ) tentang pemeriksaan diastasis recti yang mempengaruhi tenaga  kesehatan ( bidan ) tersebut untuk melakukan pemeriksaan diastasis recti. Sebagai tenaga kesehatan seyogyanya selalu  melakukan pemeriksaan diastasis recti pada ibu nifas yang datang kepelayanan baik di Rumah Sakit , Puskesmas maupun PMB

scholarly journals P037 TOTALLY ENDOSCOPIC SUBLAY REPAIR FOR DIASTASIS RECTI AND CONCOMITANT MIDLINE HERNIA: FIRST CASE VIDEO-REPORT

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Camillo Leonardo Bertoglio ◽  
Lorenzo Morini ◽  
Simona Grimaldi ◽  
Pietro Carnevali ◽  
Giovanni Ferrari
Keyword(s):  
Polyvinylidene Fluoride ◽  
Rectus Sheath ◽  
Barbed Suture ◽  
Preperitoneal Space ◽  
Anterior Rectus Sheath ◽  
Linea Alba ◽  
First Case ◽  
Diastasis Recti ◽  
Posterior Rectus Sheath ◽  
Sublay Repair

Abstract Aim We describe in detail the step by step technique of the first case of TES repair at our institution. Methods We selected the case of a M2W3L3 hernia associated to xipho-umbilical diastasis recti in a young woman symptomatic for a progressively worsening back pain and local bulky sensation. Results The intervention is started directly with a suprapubic transverse incision of 2.5 cm and a circumferential, atraumatic retraction is inserted after a small incision of the anterior rectus sheath. Blunt dissection is further continued through this access by luxating the underlying rectus muscles to separate the preperitoneal space below the arcuate line. The pneumo-preperitoneum is then inducted through this port. Laparoscopic dissection allows for enlargement of the avascular space laterally and then two 5-mm trocars are placed on the bilateral aspects of rectus muscles. By means of a lap bipolar dissector the edge of posterior rectus sheath are incised from the arcuate line following the diastasis laterally up to the subxiphoid space. The Rives plane is recovered without opening of the linea alba. After reduction of the M2 hernia both the posterior sheath and the diastatic anterior fascia are sutured with a running long-resorbable 2/0 barbed suture. Polyvinylidene fluoride (PVDF) mesh fixed with the use of an hystoacrilic glue. Conclusion Minimally invasive extraperitoneal repair of small/medium hernia defects of the linea alba is gaining wide acceptance. Concomitant presence of rectum diastasis recti seems to be the ideal indication to approach the learning curve of such a technically demanding procedure

scholarly journals Subcutaneous Onlay Laparoscopic Approach (SCOLA) for Umbilical Hernia with Diastasis of Rectus Abdominis Muscle: A Case Report

2021 ◽  
Author(s):  
Halil Afsin Tasdelen
Keyword(s):  
Umbilical Hernia ◽  
Video Clip ◽  
Laparoscopic Approach ◽  
Rectus Abdominis ◽  
High Recurrence Rate ◽  
Anatomical Landmarks ◽  
Rectus Abdominis Muscle ◽  
Hernia Defect ◽  
Diastasis Recti ◽  
Ventral Hernias

Abstract Diastasis of the rectus abdominis muscles (DRAM) is a common pathology, usually associated with midline abdominal wall hernias. The midline ventral hernias with diastasis have a significantly high recurrence rate, so repairing the hernia defect and the diastasis should be considered. Claus et al. previously described the subcutaneous onlay laparoscopic approach (SCOLA). We report a case of diastasis recti associated with umbilical hernia repaired with SCOLA technique. A 46-year-old male patient presented with a disturbing bulge in the upper midline and painful umbilical swelling. The CT scan followed by physical examination revealed 28 mm. umbilical hernia and 35 mm. diastasis recti. We aimed to introduce the SCOLA technique using a narrated video clip and showed all the critical steps and anatomical landmarks in the video. The postoperative period was uneventful, and the patient was discharged on the second postoperative day. The SCOLA technique is a feasible and reproducible alternative for the repair of midline hernias associated with DRAM.

scholarly journals DIASTASIS RECTI AMONG PREGNANT AND POSTPARTUM WOMEN IN KANO, NIGERIA: A CROSS-SECTIONAL STUDY

2017 ◽  
Vol 6 (1) ◽  
pp. 15-20
Author(s):  
Fatima Bichi ◽  
Dr. Shumaila Hanif
Keyword(s):  
Post Partum ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Postpartum Women ◽  
Chi Square ◽  
Cross Sectional ◽  
Common Location ◽  
Diastasis Recti ◽  
Significant Difference ◽  
The Difference

Diastasis Recti (DR) is a common muscular condition often present during and after pregnancy. This cross-sectional correlational study investigated the prevalence of DR among pregnant and postpartum women. A total of 250 pregnant and postpartum women were recruited using convenience sampling technique from obstetrics and gynaecology department, Aminu Kano Teaching Hospital, Kano, Nigeria. Age, body mass, height, BMI, parity, trimester, duration of DR postpartum, location of DR and DR status was recorded for each participant. Presence of DR was confirmed using the finger width method. Descriptive statistics of mean, SD, percentage were used to describe the data and determine the prevalence. Inferential statistics of Pearson’s and Spearman’s correlation were used to analyse the relationship between prevalence of DR and age, parity and duration of DR postpartum. Chi square was computed to determine the difference in prevalence of DR across trimesters. The result of this study indicated high prevalence of DR in post-partum and pregnant women (84% and 64.7% respectively); the most common location of DR was at the umbilicus in both pregnant and postpartum women. Prevalence of DR was high among the multigravida; and a significant relationship was found between prevalence of DR and age and parity of participants. There was a significant difference in prevalence of DR across the trimesters. It can be concluded that prevalence of DR among pregnant and postpartum women is high; age and parity are determinants of DR prevalence. Evaluation of DR should be considered as routine assessment in both pregnant and postpartum women.

scholarly journals O16 THE TOR-CONCEPT (TRAINING-OPERATION-REHABILITATION) APPLIED TO A COHORT OF POST-PARTUM WOMEN WITH SYMPTOMATIC DRA (DIASTASIS RECTI ABDOMINIS). EVALUATION OF PHYSICAL FUNCTION AND QUALITY OF LIFE ONE YEAR AFTER SURGERY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Anders Olsson ◽  
Katarina Woxnerud ◽  
Gabriel Sandblom ◽  
Otto Stackelberg
Keyword(s):  
Quality Of Life ◽  
Physical Function ◽  
Surgical Repair ◽  
Post Partum ◽  
Rehabilitation Program ◽  
Diastasis Recti ◽  
Sf 36 ◽  
One Year ◽  
Diastasis Recti Abdominis

Abstract Aim Management of diastasis recti abdominis (DRA) differs regarding core training, surgical repair methods and post-operative rehabilitation. The purpose of this prospective cohort study was to evaluate the effect of a novel concept of treatment for DRA, the TOR-concept (Training, Operation and Rehabilitation). The concept includes preoperative evaluation of symptoms and instructed abdominal core training; tailored surgical repair of the DRA; and an individualized postoperative rehabilitation program. Material and Methods A cohort of seventy-five post-partum women with diagnosed DRA and training resistant core dysfunctions were evaluated and included to the study during 2018-2020. After surgery, all participants underwent an individualized supervised rehabilitation program with progressive increasing load for four months. Physical function was registered preoperatively and one year after surgery with the disability rating index (DRI) questionnaire. Quality of life (QoL) was assessed with the SF-36 questionnaire. The DRA and the surgical result were assessed with ultrasonography before and one year after surgery. Results Sixty-nine participants, 92%, completed the study. There were no DRA-recurrences at the 1-year follow-up. Early results shows that self-reported physical function, (DRI), improved in 88.8 % of patients, with a mean score improvement of 78.5 %. Quality of life, (SF-36), improved significantly compared with the preoperative scores, and reached a level similar to, or higher than, the normative Swedish female population. Conclusions In this cohort of post-partum women with DRA combined with core instability symptoms resistant to training, surgical reconstruction within the TOR-concept resulted in a significant improvement of physical function and QoL.

scholarly journals VP019 TESAR - TOTALLY ENDOSCOPIC SUBLAY ANTERIOR REPAIR - IN MIDLINE DEFECTS REPAIR

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Federico Fiori ◽  
Feancesco Ferrara ◽  
Daniele Gentile ◽  
Paolo Boati ◽  
Matteo Calì
Keyword(s):  
Operative Time ◽  
Intraoperative Complications ◽  
Endoscopic Approach ◽  
Anterior Repair ◽  
Exclusion Criteria ◽  
Diastasis Recti ◽  
Midline Defects ◽  
Previously Treated ◽  
The Mean ◽  
Invasive Techniques

Abstract Aim In recent years, many minimally invasive techniques have been presented in abdominall wall repair. Since 2018 we have been using TESAR techinque, an anterior endoscopic approach with mesh sublay, published in 2019 from our group. Material and Methods From May 2018 to May 2021 58 Patients referred to our Unit for clinical and radiological diagnosis of ventral defect (Midline hernia, Incisional hernia, Diastasis Recti&gt;5 cm). Exclusion criteria were: maximum defeact width 8 cm, and contraindications to general anesthesia Results All the patients underwent midline repair with TESAR technique. Three TAR were performed, with defect of 8 cm width previously treated with botox. No conversion to laparotomy occured, no intraoperative complications were registered. Total mean operative time was 156 +- 21,5 min. No postoperative major complications, 3 subcoutaneous seromas occurred ,all treated conservatively. The mean Hospital stay was 2.7 + 0.8 days. Conclusions TESAR is a feasible technique for extraperitoneal repair of midline defects with a totally endoscopic approach, allowing a safe repair with good outcomes in terms of resolutions of symtoms and postoperative complications. The video shows the main steps of the technique in diastasis recti and complicated ventral hernia repair.

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