SUTURE VS. MESH? LONG-TERM FOLLOW-UP AFTER SURGICAL REPAIRS OF DIASTASIS RECTI
DOI:
https://doi.org/10.11603/2414-4533.2024.2.14852Keywords:
diastasis recti, abdominal wall, abdominoplasty, suture, meshAbstract
The aim of the work: to compare the results of suture repair vs prolene mesh repair in patients with diastasis recti, by evaluating systemic sign and core stability 12 months after surgery.
Materials and Methods. We treated 120 patients with diastasis recti. During the surgical diastasis repair, the examined patients were divided into two groups, depending on the method of repair. The first group consisted of 60 patients in whom the diastasis repair was continuous suture. The second group included 60 patients, in whom suture repair was supplemented by subaponeurotic prolene mesh repair.
Results. Suture repair patients were 84% more likely to have regression of pain on examination, 82% more likely to have regression of problems sitting in and out of a chair, and 58% more likely to have regression of problems while standing. Patients with mesh repair were 61% more likely to experience regression of recurrent abdominal pain and 50% more likely to resolve problems with stair climbing. In the patients of the first group, after 12 months, the index of the manual muscle test increased non-statistically – 3.78±0.71 (median 4.0; min 2.0; max 5.0), and in the patients of the second group, we noticed the normalization of the manual muscle test – 4.16±0, 37 (median 4.0; min 4.0; max 5.0), which was statistically (p<0.05) greater than the rate in patients of the first group. Suture repair should be performed in patients with type A and B, no systemic symptoms, positive Q1/Q3/Q4/Q5 (VHPQ), manual muscle test greater than three points, horizontal abdominoplasty, and high requirements for abdominal correction. Mesh repair should be performed in patients with type C and D, positive systemic signs, positive Q2/Q6 (VHPQ), manual muscle test less than three points, vertical abdominoplasty.
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