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Prospective observational study of abdominal wall reconstruction with THT technique in primary midline defects with diastasis recti: Clinical and functional outcomes in 110 consecutive patients

Surgical Endoscopy Sep 25, 2020

Carrara A, Catarci M, Fabris L, et al. - Researchers here analyzed clinical and functional outcomes of a new endo-laparoscopic technique for midline reconstruction (THT technique) in patients with primary abdominal wall defects linked with diastasis recti via performing prospective observational study on 110 consecutive patients submitted to endo-laparoscopic reconstruction of the abdominal wall with linear staplers. The morbidity rate of 9.1% and no recurrences were observed after a mean follow-up of 14 months. In 6-month follow-up ultrasound, they noted a rectus muscles mean distance of 6.7 mm. Outcomes suggest the THT technique as a feasible, safe, and effective alternative to corrective surgery of primary midline hernias linked with diastasis recti. Encouraging short- and mid-term results were recorded. Patients perceived a significant improvement in quality of life, through reduction of abdominal wall pain, bulging, low back pain, and urinary stress incontinence, in correlation with achieving midline reconstruction.

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