ArticleHernia : the journal of hernias and abdominal wall surgery2023
Diastasis recti is associated with incisional hernia after midline abdominal surgery.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.
- 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
- Barbed Sutures Are Associated With a Lower Incidence of Incisional Hernia Compared With Continuous Non-Barbed Monofilament Sutures After Minimally Invasive Gastroenterological Surgery.Annals of gastroenterological surgery · 2026Article
- Laparoscopic-assisted natural orifice specimen extraction subtotal colectomy for redundant colon: a retrospective parallel-cohort comparative study with reduced surgical site infections and accelerated recovery.Frontiers in surgery · 2026Article
- Rectus diastasis is a risk factor for incisional hernia after robot assisted laparoscopic radical prostatectomy for prostate cancer.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Comparing robotic ventral transabdominal preperitoneal repair (rvTAPP) and laparoscopic enhanced view totally extraperitoneal repair (eTEP): a multicentre observational study.Journal of robotic surgery · 2025Observational
- Biomechanics of the abdominal wall before and after ventral hernia repair using dynamic MRI.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Mind the gap: pre-operative diastasis recti increases trocar site hernia risk after laparoscopic cholecystectomy.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Core muscle strength and stability-oriented breathing training reduces inter-recti distance in postpartum women.Open medicine (Warsaw, Poland) · 2025Article
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Authors and funding
8 authors at 1 institution in 1 country.
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Abstract
purposeIncisional hernia occurs in up to 20% of patients after abdominal surgery and is most common after vertical midline incisions. Diastasis recti may contribute to incisional hernia but has not been explored as a risk factor or included in hernia risk models. We examined the association between diastasis recti and incisional hernia after midline incisions.
methodsIn this single-center study, all patients undergoing elective gastrointestinal surgery with a midline open incision or extraction site in a prospective surgical quality collaborative database between 2016 and 2020 were included. Eligible patients had axial imaging within 6 months prior to surgery and no less than 6 months after surgery to determine the presence of diastasis recti and incisional hernia, respectively. Radiographic hernia-free survival was assessed with log-rank tests and multivariable Cox regression, comparing patients with and without diastasis width > 25 mm.
resultsOf 156 patients, forty-four (28.2%) developed radiographic hernia > 1 cm. 36 of 85 patients (42.4%) with DR width > 25 mm developed IH, compared to 9 of 71 (12.7%) without DR (p < 0.001). Hernia-free survival differed by DR width on bivariate and multivariable Cox regression, adjusted hazard ratio: 3.87, 95% confidence interval: 1.84-8.14.
conclusionDiastasis recti is a significant risk factor for incisional hernia after midline abdominal surgery. When present, surgeons can include these data when discussing surgical risks and should consider a lower risk, off-midline approach when feasible. Incorporating diastasis into larger studies may improve comprehensive models of incisional hernia risk.
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