Improvements to the selection of minimally invasive techniques in laparoscopic elimination diastasis rectal muscle of abdomen

Abstract

Objective. Assess the feasibility of laparoscopic elimination of diastasis recti and improve the results of treatment of such patients. Material and Methods. In 2 clinical TMA for the period from 2015 to 2016 performed 21 laparoscopic operations for diastasis recti II–III degree. Patients with diastase II degree was 9 (42.8%), with III — 12 (57.2%). The age of patients ranged from 36 to 62 years. 58% of patients were older than 50 years. Men were 7 women — 14 patients. In 7 patients had a concomitant pathology requires simultaneous operations: 4 — cholelithiasis, 3 — inguinal hernia. Results. Laparoscopic elimination of diastasis sheathe made under anesthesia. When laparoscopy determined the boundaries of diastasis recti. The operation was carried out with the help of endoscope developed by us, “the hook-needle” Mean operative time was 52,5 ± 5,3 m. When simultaneous operations the figure was 73,5 ± 13,7 minutes. There were no intraoperative complications. The mean time of hospital stay was 4,1 ± 1,3 bed-days. After surgery, patients have 7–8 hours back to normal pre-operative activities. The need for daily dressings, surgeon visits was not. The average number of visits to the surgeon on an outpatient basis was 5,2 ± 1,3 times. Relapse during the observation was not for 1 year. The patients had no complaints, physical activity does not cause discomfort, strain in the anterior abdominal wall was not, rectus abdominis edges abut one another. Conclusion. our first experience with laparoscopic elimination of diastasis recti showed that it is a highly effective method of treatment less traumatic and has a number of health and social benefits.