Evidence map›Paper›PMID 40622579›Full record

ReviewHernia : the journal of hernias and abdominal wall surgery2025

Diastasis recti abdominis: A comprehensive review.

Ying Du, Manli Huang, Shisong Wang, Libin Yang, Yunshou Lin, Wenguan Yu, Zikun Pan, Zhiyu Ye

Abstract readReview
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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. 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

8 authors.

Ying DuHealth Science Center, Ningbo University, Ningbo, 315211, Zhejiang, China.
Manli HuangHealth Science Center, Ningbo University, Ningbo, 315211, Zhejiang, China.
Shisong WangHealth Science Center, Ningbo University, Ningbo, 315211, Zhejiang, China.
Libin YangHealth Science Center, Ningbo University, Ningbo, 315211, Zhejiang, China.
Yunshou LinDepartment of Hernia and Abdominal Wall Surgery, The First Affiliated Hospital of Ningbo University, No. 59 Liuting Street, Haishu District, Ningbo, 315010, China.
Wenguan YuDepartment of Hernia and Abdominal Wall Surgery, The First Affiliated Hospital of Ningbo University, No. 59 Liuting Street, Haishu District, Ningbo, 315010, China.
Zikun PanDepartment of Hernia and Abdominal Wall Surgery, The First Affiliated Hospital of Ningbo University, No. 59 Liuting Street, Haishu District, Ningbo, 315010, China.
Zhiyu YeDepartment of Hernia and Abdominal Wall Surgery, The First Affiliated Hospital of Ningbo University, No. 59 Liuting Street, Haishu District, Ningbo, 315010, China. yezhiyu2023@163.com.ORCID 0000-0002-9748-7032

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiastasis recti abdominis (DRA) refers to the separation of the rectus abdominis muscles along the linea alba. Though traditionally viewed as a postpartum cosmetic issue, DRA has functional implications and affects both women and men.

methodsA comprehensive literature review was conducted using PubMed, Web of Science, and Google Scholar, identifying 355 relevant publications over the past two decades. Priority was given to high-quality studies including randomized trials, observational studies, systematic reviews, and meta-analyses.

resultsDRA is highly prevalent in postpartum and menopausal women, and increasingly recognized in males with risk factors such as obesity and aging. Diagnostic tools have evolved from clinical assessment to imaging modalities such as ultrasound, CT, MRI, and elastography. Conservative management, especially core stabilization, improves function in mild cases. Severe DRA may require surgical repair, including open, laparoscopic, or robotic-assisted techniques, often with mesh reinforcement. Rehabilitation and biomaterials enhance surgical outcomes. However, consensus is lacking on treatment indications and long-term efficacy.

conclusionAdvances in diagnostics, surgical techniques, and rehabilitation have improved DRA management. Future efforts should focus on standardizing treatment criteria, enhancing personalized care, and evaluating long-term outcomes.

Indexed as

Diastasis, MuscleRectus AbdominisFemaleHumansMaleConservative treatmentDiagnostic methodDiastasis recti abdominisSurgical treatmentTreatment options

Identifiers

PMID40622579
PMCPMC12234620

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.