Evidence map›Paper›PMID 32299300›Full record

Trial reportScandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society2021

Long-term follow-up after surgical repair of abdominal rectus diastasis: A Prospective Randomized Study.

Ebba Swedenhammar, Karin Strigård, Peter Emanuelsson, Ulf Gunnarsson, Birgit Stark

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Mesh repair versus suture plication for rectus diastasis: the results of meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Prevalence of rectus diastasis is higher in patients with inguinal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Article
  9. Article
  10. Mesh Repair of Rectus Diastasis for Abdominoplasty is Safer than Suture Plication.Plastic and reconstructive surgery. Global open · 2021
    Article
  11. Review
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ebba SwedenhammarDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, Solna (L1:00), Stockholm, SE-171 76, Sweden.ORCID https://orcid.org/0000-0001-9189-9725
Karin StrigårdDivision of Surgery, Department of Surgical and Perioperative Sciences, Umeå University, Karolinska University Hospital, Umeå, Sweden.
Peter EmanuelssonDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Ulf GunnarssonDivision of Surgery, Department of Surgical and Perioperative Sciences, Umeå University, Karolinska University Hospital, Umeå, Sweden.
Birgit StarkDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Karolinska University Hospital · SEKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbdominal rectus diastasis can lead to functional disability. There is no consensus regarding treatment. This was a prospective study on patients randomized to surgery using either Quill self-retaining sutures or retromuscular mesh for abdominal rectus diastasis repair. The primary aim of the study was to compare long-term recurrence after surgery. Secondary aims were abdominal muscle strength, pain, and quality of life.

methodsA total of 57 patients were eligible and 52 were investigated. A routine 1-year follow-up ruled out any patient with recurrence and this was followed up by clinical examination for recurrence and assessment of the secondary outcomes a median of 5 years (3.8-6.5 years) after surgery. Quality of life was assessed using the Short Form-36 questionnaire. Pain related to activity was evaluated using the Ventral Hernia Pain Questionnaire.

resultsNo recurrence of abdominal rectus diastasis was found. Significant improvements were seen between index surgery and long-term follow-up in all domains of Short Form-36. There were no significant differences in quality of life or self-reported muscle strength between the two surgical groups. Long-term pain remained unchanged compared to that at the 1-year follow-up. "Pain this week" had decreased significantly at long-term follow-up compared to prior to surgery (mesh p = 0.009, Quill p = 0.003).

conclusionsNo recurrence of abdominal rectus diastasis appeared. There was no difference in quality of life or long-term pain between the two surgical groups. Implantation of retromuscular mesh entails more extensive surgery implying potentially higher risk for complications. This leads us to recommend reconstruction with double-row self-retaining sutures for the repair of abdominal rectus diastasis in patients with functional disability.

Indexed as

Abdominal WallHernia, VentralAbdominal MusclesFollow-Up StudiesHerniorrhaphyHumansProspective StudiesQuality of LifeRectus AbdominisRecurrenceSurgical MeshAbdominal rectus diastasisabdominoplastylong-term follow-upoperation methodquality of liferecurrence

Identifiers

PMID32299300
PMCPMC8551425
OpenAlexW3017305552

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.