Our Summary

This research paper looks at different surgical treatments for a condition known as diastasis recti, which is common in women after childbirth. This condition is where the stomach muscles separate, causing a bulge or “pooch”. The traditional treatment has been through a surgery called an abdominoplasty, commonly known as a “tummy tuck”. However, more recent studies have explored less invasive surgical options.

The researchers looked at 12 different studies conducted between 2015 and 2022. They divided the less invasive methods into three categories: laparoscopic preaponeurotic approaches (using small incisions and a camera to guide the surgery), robotic approaches (where a surgeon uses a machine to perform the operation), and eTEP approaches (which is a specific type of laparoscopic surgery).

The results showed that there were no significant differences in complication rates between the traditional “tummy tuck” surgery and these less invasive methods. This was true for issues like fluid build-up (seromas), infections, and bleeding (hematomas). The only exception was one type of robotic surgery, which had higher rates of the condition coming back (recurrence).

In conclusion, the researchers suggest that both traditional and less invasive surgeries can effectively treat diastasis recti in women after childbirth. The best method should be decided based on the patient’s needs and wants. For example, if a woman wants to get rid of excess belly fat, a “tummy tuck” might be better. But if she prefers a shorter recovery time and smaller scars, a less invasive method could be a better choice.

FAQs

  1. What is diastasis recti and how is it traditionally treated?
  2. What are the less invasive surgical options for treating diastasis recti?
  3. Are there any significant differences in complication rates between traditional and less invasive surgeries for diastasis recti?

Doctor’s Tip

A helpful tip a doctor might give a patient considering abdominoplasty is to carefully weigh the benefits and risks of both traditional and less invasive surgical options. It is important to have a thorough discussion with your surgeon about your goals, expectations, and concerns to determine the best approach for your individual needs. Additionally, following your surgeon’s post-operative instructions and maintaining a healthy lifestyle can help ensure a successful outcome and long-lasting results.

Suitable For

Typically, patients who are recommended for abdominoplasty, or a “tummy tuck” surgery, are those who have excess skin and fat in the abdominal area that has not responded to diet and exercise. This is often seen in women who have had multiple pregnancies or significant weight loss, leading to stretched abdominal muscles and skin. Patients who have diastasis recti, where the stomach muscles have separated, causing a bulge in the abdomen, may also be recommended for abdominoplasty.

Additionally, patients who are in good overall health, do not smoke, and have realistic expectations about the outcomes of the surgery are good candidates for abdominoplasty. It is important for patients to consult with a board-certified plastic surgeon to determine if they are suitable candidates for the procedure and to discuss the potential risks and benefits associated with abdominoplasty.

Timeline

  • Before abdominoplasty:
  1. Patient consults with a plastic surgeon to discuss their goals and expectations for the surgery.
  2. Pre-operative tests are conducted to ensure the patient is healthy enough for surgery.
  3. Patient receives instructions on how to prepare for the surgery, including avoiding certain medications and fasting before the procedure.
  4. Surgery is performed under general anesthesia, typically taking 2-5 hours.
  5. Patient stays in the hospital for 1-2 days for monitoring and pain management.
  6. Recovery period involves wearing compression garments, limiting physical activity, and attending follow-up appointments.
  • After abdominoplasty:
  1. Patient experiences initial discomfort, swelling, bruising, and tightness in the abdomen.
  2. Pain medication is prescribed to manage discomfort during the first week.
  3. Drain tubes may be placed to prevent fluid buildup and are typically removed within a week.
  4. Patient gradually resumes light activities and work after 1-2 weeks.
  5. Full recovery can take 4-6 weeks, with the final results becoming visible after several months.
  6. Patient may need to make lifestyle changes to maintain the results of the surgery, such as following a healthy diet and exercise routine.

What to Ask Your Doctor

Some questions a patient should ask their doctor about abdominoplasty include:

  1. What are the risks and potential complications associated with abdominoplasty?
  2. What is the recovery process like and how long can I expect it to take?
  3. Will there be scarring after the surgery and how noticeable will it be?
  4. How long will the results of the surgery last?
  5. Are there alternative, less invasive treatments available for diastasis recti that I should consider?
  6. What are the qualifications and experience of the surgeon who will be performing the procedure?
  7. Can you provide before and after photos of previous patients who have undergone abdominoplasty?
  8. How much will the procedure cost and will it be covered by insurance?
  9. What are the pre-operative and post-operative care instructions I need to follow?
  10. Can you walk me through the specific technique you will be using for my abdominoplasty surgery?

Reference

Authors: Forester E, Sadiq A. Journal: Surg Endosc. 2023 Dec;37(12):9052-9061. doi: 10.1007/s00464-023-10540-w. Epub 2023 Nov 10. PMID: 37950027