SynthesisHernia : the journal of hernias and abdominal wall surgery2025
The Italian national consensus conference on the diagnosis and treatment of Rectus Abdominis diastasis in Post-gravidic Women.
Synthesis 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 8 papers, 2 of them syntheses that pooled it.
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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.
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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
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Non operative management of postpartum Diastasis Recti: a systematic review and metanalysis of randomized controlled trials.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- A systematic review and meta-analysis of subcutaneous onlay laparoscopic (SCOLA) approach for diastasis recti with or without mesh reinforcement.Langenbeck's archives of surgery · 2026Pooled it
- Does it work? comparing short-term physical performance following treatment of diastasis recti using army physical fitness test outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Review
- Restoring Core Strength After Rectus Diastasis Repair: A Prospective Controlled Study of Abdominal Muscle Function Following Abdominoplasty.Aesthetic plastic surgery · 2026Article
- Evaluating the impact of diastasis recti on ipom plus ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Risk factors for diastasis recti abdominis and its correlation with pelvic organ prolapse among postpartum women in southwest China: a retrospective case-control study.Frontiers in global women's health · 2025Article
- Protocol for EHS Guideline on Treatment of Ventral and Incisional Hernias in Emergency.Journal of abdominal wall surgery : JAWS · 2025Article
Corrections and comments
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Authors and funding
36 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRectus Abdominis diastasis (RAD) is a prevalent condition, particularly in post-gravidic women, with functional and esthetic impact. This Delphi consensus, led by general surgeons, aimed to establish evidence-based recommendations for the diagnosis and management of RAD in post-gravidic women.
methodsA Delphi process was conducted under the auspices of the Italian Society of Hernia and Abdominal Wall Surgery (ISHAWS), the national chapter of the European Hernia Society (EHS). A steering committee supervised systematic literature reviews to evaluate the quality of evidence and formulate recommendations. Iterative rounds of voting involving 105 expert panellists were conducted, with Consensus defined as ≥ 70% agreement. Non-consensual recommendations were revised and discussed in a plenary session during the Italian Society of Surgery (SIC) Congress, 2024.
resultsConsensus was achieved on 12 recommendations covering RAD diagnosis, classification, and treatment. Key findings included the endorsement of radiological methods for accurate RAD assessment, the establishment of surgical thresholds (> 2.5 cm inter-recti distance for symptom improvement), and the recommendation of minimally invasive linea alba plication for surgical management. Non-operative treatments, such as targeted exercise programs, were emphasized as first-line approaches. For RAD with concomitant hernias of the linea alba with defects > 1 cm, mesh reinforcement was strongly recommended, with extraperitoneal placement preferred. The importance of tailoring approaches based on patient-specific factors and fostering shared decision-making was highlighted.
conclusionThis consensus provides a structured framework for RAD management, emphasizing accurate diagnosis, tailored treatments, and patient-centered care. Future multicenter studies are required to address remaining evidence gaps and refine these recommendations.
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40576747What OpenQuestion holds
Registered trials
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.