Evidence map›Paper›PMID 40615642›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

Long-term patient-reported outcomes after plication of rectus diastasis and simultaneous herniorrhaphy with HELP abdominoplasty.

Julia Saxen, Hilkka Peltoniemi, Tiina Jahkola, Jaana Vironen, Reetta Tuominen

Abstract read
In one paragraph

Article 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 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Julia SaxenDepartment of Plastic Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland. julia.saxen@hus.fi.ORCID 0009-0005-8386-2777
Hilkka PeltoniemiEira Hospital, Helsinki, Finland.
Tiina JahkolaDepartment of Plastic Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Jaana VironenAbdominal Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Reetta TuominenDepartment of Plastic Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMidline hernias are common, and when associated with abdominal rectus diastasis, hernia guidelines recommend correction using mesh techniques. We present a retrospective series of patients with primary midline hernias and post-pregnancy moderate or severe abdominal rectus diastasis, who were operated using a comprehensive surgical approach without mesh.

methodsWe previously described the HELP (Hydrodissection-Assisted Extended Lateral Plication) abdominoplasty technique for rectus diastasis repair, with or without a midline hernia. In this study, patient records from 2013 to 2018 were reviewed, and patients with a midline hernia who underwent the HELP abdominoplasty were recruited for a retrospective analysis.

resultsSeventeen patients were successfully contacted. The mean diameter of the umbilical hernia defect was 13.6 mm (5-30 mm), and 7.7mm (5-20 mm) in epigastric hernias. The mean follow-up period was 5.2 years. None of the patients reported a recurrence of diastasis or of hernias. The overall complication rate was 11.8%.

conclusionHELP abdominoplasty appears to be a reliable surgical treatment with a low complication rate for normal-weight women with post-pregnancy moderate to severe rectus diastasis and concomitant small primary hernias. In these cases, the entire damaged fascia should be repaired, and mesh correction is not always necessary.

Indexed as

AbdominoplastyDiastasis, MuscleHernia, VentralHerniorrhaphyPatient Reported Outcome MeasuresRectus AbdominisAdultFemaleHumansMiddle AgedPostoperative ComplicationsPregnancyRetrospective StudiesSurgical MeshAbdominal rectus diastasisAbdominoplastyEpigastric HerniaUmbilical Hernia

Identifiers

PMID40615642
PMCPMC12227493

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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.