Symptomatic Diastasis Rectus Abdominis in Children: Review of Current Management Options and Presentation of a Novel Minimally Invasive Epifascial Repair Technique
Several surgical techniques are available for an adult patient collective with diastasis recti. Only few research papers addresses the treatment options of diastasis of the rectus abdominis in children. In this case series, we present a new technique of epifascial repair as a novel possibility in su...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/13/17/9841 |
| _version_ | 1827728285492051968 |
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| author | Markus Denzinger Domitille Stark Clemens Memmel Patricia Reis Wolfertstetter Christian Knorr |
| author_facet | Markus Denzinger Domitille Stark Clemens Memmel Patricia Reis Wolfertstetter Christian Knorr |
| author_sort | Markus Denzinger |
| collection | DOAJ |
| description | Several surgical techniques are available for an adult patient collective with diastasis recti. Only few research papers addresses the treatment options of diastasis of the rectus abdominis in children. In this case series, we present a new technique of epifascial repair as a novel possibility in successfully repairing defects of the anterior abdominal wall using minimally invasive surgery. In this case series, we present an epifascial repair technique for patients with a diastasis recti with a dehiscence cranial of the umbilicus. Four pediatric patients with symptomatic rectus diastasis were treated with this new surgical technique. All procedures were conducted successfully, and no recurrence was observed in the follow up. All patients showed clinical regression of the rectus diastasis without any postoperative abdominal wall protrusion and good improvement of the symptoms. Intraoperative intraperitoneal air loss, postoperative scar keloid, thermal lesions due to Ultracision and one seroma/hematoma after the removal of the drain were minor complications observed during the follow-up. |
| first_indexed | 2024-03-10T23:28:07Z |
| format | Article |
| id | doaj.art-dbcbd0ba8f7f4943a96d4e7cf6b5c1df |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-10T23:28:07Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-dbcbd0ba8f7f4943a96d4e7cf6b5c1df2023-11-19T07:52:29ZengMDPI AGApplied Sciences2076-34172023-08-011317984110.3390/app13179841Symptomatic Diastasis Rectus Abdominis in Children: Review of Current Management Options and Presentation of a Novel Minimally Invasive Epifascial Repair TechniqueMarkus Denzinger0Domitille Stark1Clemens Memmel2Patricia Reis Wolfertstetter3Christian Knorr4Faculty of Medicine, University Medical Center Regensburg, 93053 Regensburg, GermanyDepartment of Pediatric Surgery, Klinik St. Hedwig, University Medical Center Regensburg, 93049 Regensburg, GermanyDepartment of Pediatric Surgery, Klinik St. Hedwig, University Medical Center Regensburg, 93049 Regensburg, GermanyDepartment of Pediatric Surgery, Klinik St. Hedwig, University Medical Center Regensburg, 93049 Regensburg, GermanyDepartment of Pediatric Surgery, Klinik St. Hedwig, University Medical Center Regensburg, 93049 Regensburg, GermanySeveral surgical techniques are available for an adult patient collective with diastasis recti. Only few research papers addresses the treatment options of diastasis of the rectus abdominis in children. In this case series, we present a new technique of epifascial repair as a novel possibility in successfully repairing defects of the anterior abdominal wall using minimally invasive surgery. In this case series, we present an epifascial repair technique for patients with a diastasis recti with a dehiscence cranial of the umbilicus. Four pediatric patients with symptomatic rectus diastasis were treated with this new surgical technique. All procedures were conducted successfully, and no recurrence was observed in the follow up. All patients showed clinical regression of the rectus diastasis without any postoperative abdominal wall protrusion and good improvement of the symptoms. Intraoperative intraperitoneal air loss, postoperative scar keloid, thermal lesions due to Ultracision and one seroma/hematoma after the removal of the drain were minor complications observed during the follow-up.https://www.mdpi.com/2076-3417/13/17/9841diastasis rectiminimally invasive surgeryhernia |
| spellingShingle | Markus Denzinger Domitille Stark Clemens Memmel Patricia Reis Wolfertstetter Christian Knorr Symptomatic Diastasis Rectus Abdominis in Children: Review of Current Management Options and Presentation of a Novel Minimally Invasive Epifascial Repair Technique Applied Sciences diastasis recti minimally invasive surgery hernia |
| title | Symptomatic Diastasis Rectus Abdominis in Children: Review of Current Management Options and Presentation of a Novel Minimally Invasive Epifascial Repair Technique |
| title_full | Symptomatic Diastasis Rectus Abdominis in Children: Review of Current Management Options and Presentation of a Novel Minimally Invasive Epifascial Repair Technique |
| title_fullStr | Symptomatic Diastasis Rectus Abdominis in Children: Review of Current Management Options and Presentation of a Novel Minimally Invasive Epifascial Repair Technique |
| title_full_unstemmed | Symptomatic Diastasis Rectus Abdominis in Children: Review of Current Management Options and Presentation of a Novel Minimally Invasive Epifascial Repair Technique |
| title_short | Symptomatic Diastasis Rectus Abdominis in Children: Review of Current Management Options and Presentation of a Novel Minimally Invasive Epifascial Repair Technique |
| title_sort | symptomatic diastasis rectus abdominis in children review of current management options and presentation of a novel minimally invasive epifascial repair technique |
| topic | diastasis recti minimally invasive surgery hernia |
| url | https://www.mdpi.com/2076-3417/13/17/9841 |
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