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      Diastasis recti associated with midline hernias: Totally subcutaneous video-endoscopic repair

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          Abstract

          A 63-year-old man with a history of a conventional cholecystectomy was referred to our department for an incisional subcostal hernia and chronic back pain. Physical examination also showed an umbilical hernia and diastasis recti measuring 6 cm that was confirmed with a computed tomography scan. Subcutaneous video-endoscopic repair was done repairing all defects simultaneously.

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          Totally endoscopic surgery on diastasis recti associated with midline hernias. The advantages of a minimally invasive approach. Prospective cohort study.

          To evaluate prospectively the feasibility and the duration of the plication of both aponeurosis through a totally endoscopic approach to the diastasis recti associated with midline hernias, correcting both pathologies simultaneously and objectively looking at their advantages and complications.
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            The endoscopic component separation technique for hernia repair results in reduced morbidity compared to the open component separation technique.

            The component separation technique for hernia repair results in significant wound morbidity due to the need for large undermining skin flaps. The endoscopic component separation technique allows for advancement of the abdominal wall while preserving the blood supply originating from the epigastric vessels. This study compares the outcomes following hernia repair utilizing these techniques.
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              Long-term follow-up of correction of rectus diastasis.

              Correction of rectus diastasis is a procedure performed by most surgeons during abdominoplasty. The purpose of this study was to demonstrate the long-term efficacy of the correction of rectus diastasis when plication of the anterior rectus sheath is performed with a nonabsorbable suture.
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                Author and article information

                Journal
                J Minim Access Surg
                J Minim Access Surg
                JMAS
                Journal of Minimal Access Surgery
                Medknow Publications & Media Pvt Ltd (India )
                0972-9941
                1998-3921
                Apr-Jun 2018
                : 14
                : 2
                : 161-163
                Affiliations
                [1]Department of General Surgery, British Hospital of Buenos Aires, Buenos Aires, Argentina
                Author notes
                Address for correspondence: Dr. Walter Sebastian Nardi, Department of General Surgery, British Hospital of Buenos Aires, Perdriel 74, CABA, Buenos Aires, Argentina. E-mail: nardi.ws@ 123456gmail.com
                Article
                JMAS-14-161
                10.4103/jmas.JMAS_103_17
                5869979
                29226879
                434e4f15-8e6c-4b5d-8069-24e65dc6faac
                Copyright: © 2017 Journal of Minimal Access Surgery

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                : 05 August 2017
                : 26 September 2017
                Categories
                Unusual Case

                Surgery
                diastasis recti,endoscopic rectus plication,mini-invasive
                Surgery
                diastasis recti, endoscopic rectus plication, mini-invasive

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