Evidence map›Paper›PMID 33661382›Full record

ArticleSurgical endoscopy2022

Preaponeurotic endoscopic repair (REPA) of diastasis recti: a single surgeon's experience.

Salvatore Cuccomarino, Luca Domenico Bonomo, Fabrizio Aprà, Antonio Toscano, Alberto Jannaci

Abstract readCase Reports
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In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Article
  7. Abdominoplasty and rectus diastasis repair-a plastic surgeon's perspective.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Review
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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.

Salvatore CuccomarinoGeneral Surgery Unit, Chivasso Hospital, Chivasso, Italy.
Luca Domenico BonomoDepartment of Surgery, University of Turin, Turin, Italy. l.d.bonomo@gmail.com.ORCID 0000-0002-9132-7134
Fabrizio ApràGeneral Surgery Unit, Chivasso Hospital, Chivasso, Italy.
Antonio ToscanoDepartment of Anesthesia and Critical Care, Città della Salute e della Scienza, Turin, Italy.
Alberto JannaciGeneral Surgery Unit, Chivasso Hospital, Chivasso, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiastasis recti is a pathology that affects not only the abdominal wall but also the stability of lumbopelvic muscles, consequently altering urinary and digestive functionality. Preaponeurotic endoscopic repair (REPA) is an endoscopic alternative to tummy tuck for the treatment of diastasis. In this study, the outcomes of REPA application by a single surgeon are presented.

methodsA total of 172 patients underwent REPA for the treatment of diastasis recti between August 2017 and December 2019. One hundred twenty-four patients were followed for at least one year. Sixty-three patients responded to a survey on satisfaction and quality of life 12 months after surgery.

resultsThree (2.4%) recurrences occurred, of which two occurred in the same patient. The main postoperative complications observed were 12 (9.7%) seromas, 3 (2.4%) haematomas, a single wound infection, 3 (2.4%) cases of skin fold formation, and a case of trophic skin lesion that required negative pressure therapy. Quality of life after surgery, as reported by 63 patients who responded to the survey, was satisfactory.

conclusionsREPA is a safe and effective technique for diastasis recti treatment, representing a valid alternative to abdominoplasty. Since there is no need to access the peritoneal cavity and the mesh is onlay, there are no risks of bowel damage or adhesions between the intestine and prosthesis.

Indexed as

AbdominoplastyDiastasis, MuscleSurgeonsHumansQuality of LifeRectus AbdominisAbdominal wall defectsDiastasis rectiOnlay meshPreaponeurotic endoscopic repairRecti plication

Identifiers

What OpenQuestion holds

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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.