Clinical efficacy of laparoscopic-assisted linea alba reconstruction for postpartum diastasis recti
10.3760/cma.j.issn.1673-9752.2018.11.013
- VernacularTitle:腹腔镜辅助腹白线重建术治疗产后腹直肌分离的临床疗效
- Author:
Fei YUE
1
;
Xiaohui HAO
;
Jianwen LI
;
Chenxing WANG
;
Bo FENG
;
Zirui HE
;
Pei XUE
;
Minhua ZHENG
Author Information
1. 200025,上海交通大学医学院附属瑞金医院普通外科上海市微创外科临床医学中心
- Keywords:
Diastasis recti,postpartum;
Linea alba reconstruction;
Mesh repair;
Laparoscopy;
Complications;
Recurrence
- From:
Chinese Journal of Digestive Surgery
2018;17(11):1122-1126
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of laparoscopic-assisted linea alba reconstruction for postpartum diastasis recti.Methods The retrospective cross-sectional study was conducted.The clinical data of 14 patients with postpartum diastasis recti who were admitted to Ruijin Hospital of Shanghai Jiaotong University School of Medicine between June 2016 and June 2018 were collected.Patients underwent laparoscopic-assisted linea alba reconstruction.Observation indicators:(1) intra-and post-operative recovery situations;(2) follow-up.Follow-up using outpatient examination and telephone interview was performed to detect postoperative long-term complications,diastasis recti and umbilical hernia recurrence up to September 2018.Measurement data with normal distribution were represented as (x)±s and measurement data with skewed distribution were described as M (P25,P75).Results (1) Intra-and post-operative situations:14 patients underwent successful laparoscopic-assisted linea alba reconstruction and 8 complicated with umbilical hernia area of (6± 3) cm2 were sutured and closed.The mesh area,operation time,visual analogue score for pain at the first day after operation,time of postoperative drainage-tube removal and duration of postoperative hospital stay were respectively (214±26) cm2,(74 ± 14) minutes,3.7 ± 0.6,(3.3 ± 0.7) days and (4.1 ± 1.2) days.No patient required administration of analgesics and had postoperative complication.(2) Follow-up:14 patients were followed up for 17 months (5 months,21 months).During the follow-up,1 patient returned visit at postoperative day 10 due to surgical incision drainage and cured after dressing change.The other patients had no complications,without diastasis recti and umbilical hernia recurrence.Conclusion Laparoscopic-assisted linea alba reconstruction for postpartum diastasis recti is safe and effective.