How is rectus diastasis surgery performed?

Diastasis recti primarily occurs in women after childbirth. Surgical intervention can bring the separated rectus muscles back together, reconstructing the abdominal wall and restoring its normal shape and function. The general surgical procedure is as follows:

1. Preoperative preparation: Physical examination, various necessary auxiliary tests, preoperative skin preparation, etc.

2. Incision: For open surgery, a midline incision around the umbilicus is made. Laparoscopic surgery does not require a large incision; instead, pneumoperitoneum is established and trocars are placed on the lateral abdominal wall to allow exploration of the abdominal cavity.

3. Suturing the linea alba: In open surgery, the white line along the medial borders of the rectus muscles is sutured directly, with or without placement of a reinforcing mesh inside the abdominal cavity, and any excess linea alba tissue is removed. In laparoscopic surgery, the midline defect is closed by suturing, followed by placement and fixation of a reinforcing mesh to strengthen the area.

4. Closing the incision or releasing the pneumoperitoneum and closing the trocar insertion sites.