Evidence map›Paper›PMID 34367851›Full record

ArticlePlastic and reconstructive surgery. Global open2021

Mesh Repair of Rectus Diastasis for Abdominoplasty is Safer than Suture Plication.

Rachita Sood, Lindsay E Janes, Nikita Shah, Daniel C Sasson, Marco F Ellis, Gregory A Dumanian

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Rectus diastasis is not a single entity: phenotype-specific controversies in surgical management.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Review
  3. Article
  4. Review
  5. Mesh suture repair of rectus diastasis with and without a concurrent ventral hernia.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  6. Diastasis recti abdominis: A comprehensive review.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Novel Approach for Umbilical Hernia Repair Using Mesh Strips.Plastic and reconstructive surgery. Global open · 2023
    Article
  11. Article
  12. Mesh abdominoplasty for rectus diastasis in women and men.Hernia : the journal of hernias and abdominal wall surgery · 2021
    Article
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

6 authors.

Rachita SoodDivision of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Lindsay E JanesDivision of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Nikita ShahDivision of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Daniel C SassonDivision of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Marco F EllisDivision of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Gregory A DumanianDivision of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Concerns regarding infection, extrusion, and pain have traditionally precluded the use of mesh to treat severe rectus diastasis during abdominoplasty in the United States. We describe a mesh abdominoplasty technique, and we hypothesize that the complication rate using mesh is greater than the complication rate of suture plication.

methodsInclusion criteria for mesh abdominoplasty were patients who (1) had retrorectus planar mesh for repair of rectus diastasis, (2) did not have concurrent ventral hernia, and (3) underwent skin tailoring. Patients who underwent rectus plication with suture, and met criteria 2 and 3 above were included in a sample of consecutive standard abdominoplasty patients. The primary endpoint was surgical site occurrence at any time after surgery, as determined with review of their office and hospital medical records. Secondary endpoints included surgical site infection, revision rates, postoperative course, and aesthetics assessed with their last set of office photographs.

resultsSurgical site occurrence rate was 0% of the 40 patients in the mesh group and 19% of the 37 patients in the standard group (

conclusionsRetrorectus mesh placement in a cohort of patients with severe rectus diastasis had a complication rate lower than that seen in a cohort of patients with less severe rectus diastasis, therefore negating our original hypothesis. This was done without compromising aesthetic improvement.

Identifiers

PMID34367851
PMCPMC8337067

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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.