Rectus Diastasis Corrected with Absorbable Suture: A Long-Term Evaluation

Rectus Diastasis Corrected with Absorbable Suture: A Long-Term Evaluation

Author Nahas, Fabio Xerfan Autor UNIFESP Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
Ely, Pedro Bins Autor UNIFESP Google Scholar
Ghelfond, Charles Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Hosp Jaragua
Abstract Correction of rectus diastasis (RD) is performed during most abdominoplasties. This study aimed to evaluate the long-term result of RD correction when the plication of the anterior rectus sheath is performed with an absorbable suture.Abdominoplasty was performed for 12 women who presented with Nahas' type A musculoaponeurotic deformity. the RD was measured preoperatively with two computed tomography (CT) scan slices at two levels: 3 cm above and 2 cm below the umbilicus. the bony levels at which the slices were taken served as a reference for the postoperative CT scans. During the operation, the RD was measured with a ruler at the same levels as the preoperative CT scan slices. the force necessary to bring the medial edge of the rectus muscle to the midline was measured on both levels with a dynamometer. Plication of the anterior rectus sheath was performed using a double-layer 0-PDS (polydioxanone) suture. Postoperative CT scans were performed 3 weeks after the operation. A long-term follow-up CT scan was performed 32-48 months postoperatively for every patient.The 3-week postoperative CT scan proved that the correction of RD was achieved by the procedure. Despite the fact that there were different abdominal wall resistances and that the average weight gain during this period was 4.5 kg, the long-term CT-scans showed no recurrence of RD for any patient of this series in either the superior or inferior abdomen.Plication of the anterior rectus sheath with PDS suture to correct RD seems to be a long-lasting procedure.
Keywords Abdominoplasty
Anterior rectus sheath
Nahas' type A musculoaponeurotic deformity
Rectus diastasis
Abdominal wall
Language English
Date 2011-02-01
Published in Aesthetic Plastic Surgery. New York: Springer, v. 35, n. 1, p. 43-48, 2011.
ISSN 0364-216X (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 43-48
Origin http://dx.doi.org/10.1007/s00266-010-9554-2
Access rights Closed access
Type Article
Web of Science ID WOS:000287198400007
URI http://repositorio.unifesp.br/handle/11600/33402

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