Trial reportThe British journal of surgery2025
Rectus diastasis repair with and without mesh at 1 year: randomized clinical trial.
Trial report in The British journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03509376 (Operative Correction of Abdominal Rectus Diastasis), which is not on this map. Cited by 2 papers.
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.
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.
Operative Correction of Abdominal Rectus Diastasis (ARD): the Effect on Low Back Pain and Movement Control. A Randomized, Prospective Trial Comparing Novel, Mini-invasive Mesh Repair to Plication
Who cites it
2 citing papers in PubMed.
- Rectus diastasis is not a single entity: phenotype-specific controversies in surgical management.Hernia : the journal of hernias and abdominal wall surgery · 2026Review
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundRectus diastasis (RD) can cause functional impairment and pain. Surgical approaches vary regarding mesh use for linea alba restoration. The aim of this RCT was to compare plication supported by mesh (PSUM) with suture plication in patients with symptomatic postpartum RD.
methodsThis single-centre superiority double-blind RCT was conducted in Finland from April 2018 to November 2022. The pre-specified primary outcome was RD recurrence at 1 year (inter-rectus distance (IRD) >20 mm) and a post-hoc primary outcome was absolute reduction in IRD. Secondary outcomes included health-related quality of life (HRQoL), low back disability (Oswestry Disability Index (ODI)), motor control, and complications. The date of the last follow-up was 30 November 2022.
resultsIn total, 86 normal-weight women (mean age of 38.7 (range 25-52) years) were randomized, with 84 patients (98%) available for follow-up (44 in the PSUM group and 40 in the suture plication group). At 1 year, there was no difference in RD recurrence between the PSUM group and the suture plication group (2 of 44 (5%) versus 2 of 40 (5%) respectively; P = 0.922). IRD reduction was greater in the PSUM group (52 (95% c.i. 48 to 56) mm) than in the suture plication group (44 (95% c.i. 40 to 47) mm) (P < 0.002). HRQoL, ODI, and enhanced performance test results all improved in both groups compared with baseline (P = 0.000-0.039). There was no difference in the complication rate between the PSUM group and the suture plication group (17 of 44 (39%) versus 13 of 40 (33%) respectively; P = 0.558).
conclusionAt 1 year, both PSUM and suture plication result in stable outcomes, with no difference in the RD recurrence rate, but the study was limited by both a small number of patients and a lower than anticipated overall RD recurrence rate. For the whole patient cohort, surgery was associated with improved motor control, low back function, and HRQoL compared with baseline. REGISTRATION NUMBER: NCT03509376 (http://www.clinicaltrials.gov).
Indexed as
Identifiers
What 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.