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

IF 2.4 2区医学 Q1 SURGERY

Hernia Pub Date : 2025-07-05 DOI:10.1007/s10029-025-03408-6

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

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引用次数: 0

Abstract

Purpose: Midline 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.

Methods: We 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.

Results: Seventeen 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%.

Conclusion: HELP 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.

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长期患者报告的结果后，应用直肌转移和疝修补术与HELP腹部成形术。

目的：中线疝是常见的，当伴有腹直肌移位时，疝指南推荐使用补片技术进行矫正。我们提出了一系列回顾性的患者原发性中线疝和妊娠后中度或重度腹直肌移位，谁是手术采用综合手术途径，没有补片。方法：我们之前描述了HELP （Hydrodissection-Assisted Extended Lateral Plication）腹部成形术，用于有或没有中线疝的直肌移位修复。在本研究中，回顾了2013年至2018年的患者记录，并招募了接受HELP腹部成形术的中线疝患者进行回顾性分析。结果：成功联系17例患者。脐疝缺损平均直径为13.6 mm (5 ~ 30 mm)，腹壁疝缺损平均直径为7.7mm （5 ~ 20 mm）。平均随访时间为5.2年。没有患者报告复发转移或疝气。总并发症发生率为11.8%。结论：对于体重正常的妊娠后中度至重度腹直肌移位并伴有原发性小疝的妇女，HELP腹成形术是一种可靠的手术治疗方法，并发症发生率低。在这种情况下，应该修复整个受损的筋膜，并不总是需要补片矫正。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.