Observational studySurgical endoscopy2021
Prospective observational study of abdominal wall reconstruction with THT technique in primary midline defects with diastasis recti: clinical and functional outcomes in 110 consecutive patients.
Observational study in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 6 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
20 citing papers in PubMed, 6 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Abdominal wall function in hernia and diastasis: systematic review of evaluation methods and clinical relevance.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Subcutaneous versus retromuscular approach for the minimally invasive surgical treatment of rectus diastasis with concomitant ventral hernia: systematic review and meta-analysis of current techniques.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- The Italian national consensus conference on the diagnosis and treatment of Rectus Abdominis diastasis in Post-gravidic Women.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Laparoendoscopic extraperitoneal surgical techniques for ventral hernias and diastasis recti repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Open Versus Laparoscopic Surgical Management of Rectus Diastasis: Systematic Review and Pooled Analysis of Complications and Recurrence Rates.World journal of surgery · 2022Pooled it
- Closing the gap: evidence-based surgical treatment of rectus diastasis associated with abdominal wall hernias.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Totally Endoscopic Sublay Anterior Repair (TESAR) for diastasis recti, primary and incisional ventral hernias: Long-term clinical outcomes and quality of life.Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- Hybrid approach for ventral hernia associated with rectus diastasis: endoscopic single-port diastasis plication with open preperitoneal hernia repair. ENDOP technique in 10 steps.Surgical endoscopy · 2026Article
- Abdominoplasty and rectus diastasis repair-a plastic surgeon's perspective.Hernia : the journal of hernias and abdominal wall surgery · 2025Review
- Economic value of diastasis repair with the use of mesh compared to no intervention in Italy.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Management of diastasis recti during ventral hernia repair: an analysis of the abdominal core health quality collaborative.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Comparative analysis of the efficacy and functionality of abdominoplasty versus minimally invasive techniques in the surgical treatment of diastasis rectus abdominis in postpartum women.Surgical endoscopy · 2023Review
- Stapled fascial suture: ex vivo modeling and clinical implications.Surgical endoscopy · 2022Article
- Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis-A Scoping Review on the Current Trends and Future Perspectives.Diagnostics (Basel, Switzerland) · 2022Article
- Post-partum abdominal wall insufficiency syndrome (PPAWIS): lessons learned from a single surgeon's experience based on 200 cases.BMC surgery · 2022Article
- An Algorithmic Approach for the MIS Repair of Ventral Midline Hernias Associated With Diastasis of the Rectus Abdominis Muscle.Journal of abdominal wall surgery : JAWS · 2022Article
- Association Between Inter-Recti Distance and Impaired Abdominal Core Function in Post-Partum Women With Diastasis Recti Abdominis.Journal of abdominal wall surgery : JAWS · 2022Article
- Comparison of outcomes in rectus abdominis diastasis repair-which data do we need in a hernia registry?Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Evaluation of functional outcomes following rectus diastasis repair-an up-to-date literature review.Hernia : the journal of hernias and abdominal wall surgery · 2021Review
- Post-Partum Diastasis Recti Abdominis Treatment Using the Extended-View Totally Extraperitoneal Approach, Rives-Stoppa Technique, and Transversus Abdominis Release Procedure.CRSLS : MIS case reports from SLSArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSurgical treatment of diastasis recti is still a matter of debate. Open approaches such as abdominoplasty, which offer the possibility to combine reparation of the diastasis with abdominal cosmetic surgery, are challenged by the emerging less-invasive laparoscopic or robotic techniques that offer shorter recovery for patients. However, evidence in favour of one of the two approaches concerning both short- and long-term complications and functional results is still lacking. In this paper, we analysed clinical and functional results of a new endo-laparoscopic technique for midline reconstruction (THT technique) in patients with primary abdominal wall defects associated with diastasis recti.
methodsProspective observational study on 110 consecutive patients was submitted to endo-laparoscopic reconstruction of the abdominal wall with linear staplers. Morbidity and relapse rates with clinical and radiological follow-up were recorded at 1, 6, 12, and 24 months after the operation. Data regarding the impact of surgery on patients' quality of life (EuraHSQol) on chronic low back pain (Oswestry Disability Index, ODI) and urinary stress incontinence (Incontinence Severity Index, ISI) were gathered.
resultsAfter a mean follow-up of 14 months, the morbidity rate was 9.1% and no recurrences were recorded. 6-month follow-up ultrasound showed a rectus muscles mean distance of 6.7 mm; EuraHSQol, ODI, and ISI scores significantly improved in 93%, 77%, and 63% of the cases, respectively.
conclusionsThe THT technique proved to be a feasible, safe, and effective alternative for corrective surgery of primary midline hernias associated with diastasis recti. Short- and mid-term results are encouraging but need to be confirmed by further studies with longer follow-up. The achieved midline reconstruction offers a significant improvement of patients' perceived quality of life through reduction of abdominal wall pain, bulging, low back pain, and urinary stress incontinence.
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