Diastasis repair and Herniae can be combined with Abdominoplasty, Raleigh, NC

Procedure Details

This 46 year old woman had prior childbirths and developed an umbilical hernia. She had this repaired by a general surgeon. She still had pain and a small bulge near her belly button. She was noted to have a significant diastasis recti- a weakness of the fascia ( normally tough covering encasing abdominal muscles) and abnormal separation of the rectus abdominus muscles. No amount of exercise seemed to help and her peri-umbilical hernia caused pain when she tried to do abdominal work. She also had loose skin of her lower abdomen and wanted all of this corrected. At surgery- she was found to have a very small hernia through her diastasis with intrabdominal fat stuck ( incarcerated) within it. This was carefully repaired and the reduced and then she had a two layer closure of her diastasis. Typically this is done by a "plication" technique where the fascia ( is tightened to help make a flatter abdomen. Although she did have loose skin below her umbilicus- she did not have enough to allow the umbilical opening ( the skin around the belly button is cut to separate it from the abdominal wall) to be completely removed. When this occurs- the opening is closed vertically just above the pubic incision and leaves a scar. The patient understood this and the scar doesn't bother her as much as all the stretch marks and loose skin that she used to have. Now she has a flat abdomen and is very happy with tummy.
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