Evidence map›Paper›PMID 40569471›Full record

ReviewHernia : the journal of hernias and abdominal wall surgery2025

Rectus diastasis in males: a narrative review.

Simon Nienhuijs, Renske Wijgers, Elles Schipper, Tammo de Vries Reilingh, Johannes Wegdam

Abstract readReview
PubMed Publisher
In one paragraph

Review in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  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. Diastasis recti in male patients: a literature review and proposed management.Hernia : the journal of hernias and abdominal wall surgery · 2026
    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.

Simon Nienhuijs *Department of Surgery, Catharina Hospital Eindhoven, Eindhoven, The Netherlands. simon.nienhuijs@cze.nl.ORCID 0000-0002-0104-9477
Renske Wijgers *Elkerliek Hospital Helmond, Department of Surgery, Helmond, The Netherlands.ORCID 0009-0001-6215-5628
Elles SchipperElkerliek Hospital Helmond, Department of Surgery, Helmond, The Netherlands.
Tammo de Vries ReilinghElkerliek Hospital Helmond, Department of Surgery, Helmond, The Netherlands.ORCID 0000-0001-8456-701X
Johannes WegdamElkerliek Hospital Helmond, Department of Surgery, Helmond, The Netherlands.ORCID 0000-0002-3287-0233

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRectus diastasis in male patients is underexposed in the literature. This review aims to list the available evidence and summarize recommendations for clinicians.

methodsA multidatabase literature search was performed with a focus on rectus diastasis (RD) in male patients. Studies were screened independently, after unblinding discrepancies discussed amongst the group. Quality of included studies was assessed and data was extracted using predefined criteria.

resultsTwenty-one studies were included for qualitative syntheses. Prevalence of RD in males have been reported 25-30% and higher with concomitant findings such as other abdominal wall hernia (47%) and aortic aneurysm (67%). This outreached the portion of treated rectus diastasis, assumed to be between 4 and 14%. Quality of linea alba was described adversely affected by visceral obesity, less fibers, and smoking. Core stability was found to be related with RD in terms of low back pain in males, while body image was not encountered as a reported outcome. Limited number of studies shared algorithms for treatment of choice, showing a preference for mesh-based approach for male RD. This has also been suggested for hernia repair alongside RD to reduce the recurrence rate.

conclusionBased on limited number of reports, the prevalence of RD in males is at least double the portion undergoing a repair. The community is asked to pay more attention for rectus diastasis in male patients; if present, inquire about the complaints and in case of a ventral hernia, check the inter recti distance.

Indexed as

Diastasis, MuscleRectus AbdominisHerniorrhaphyHumansMalePrevalenceSurgical MeshLinea albaMaleRectus diastasisVentral hernia

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.