Diastasis recti abdominis: A comprehensive review.

IF 2.4 2区医学 Q1 SURGERY

Hernia Pub Date : 2025-07-07 DOI:10.1007/s10029-025-03417-5

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

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引用次数: 0

Abstract

Background: Diastasis 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.

Methods: A 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.

Results: DRA 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.

Conclusion: Advances 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.

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背景：腹直肌分离（DRA）是指沿白线的腹直肌分离。虽然传统上被认为是产后美容问题，但DRA具有功能影响，对女性和男性都有影响。方法：使用PubMed、Web of Science和b谷歌Scholar进行全面的文献综述，确定了过去20年的355篇相关出版物。优先考虑高质量的研究，包括随机试验、观察性研究、系统评价和荟萃分析。结果：DRA在产后和绝经期妇女中高发，并且越来越多地认识到男性有肥胖和衰老等危险因素。诊断工具已经从临床评估发展到成像模式，如超声、CT、MRI和弹性成像。保守治疗，特别是核心稳定，可改善轻度病例的功能。严重的DRA可能需要手术修复，包括开放、腹腔镜或机器人辅助技术，通常需要补片。康复和生物材料提高手术效果。然而，对于治疗适应症和长期疗效缺乏共识。结论：诊断、手术技术和康复的进步改善了DRA的治疗。未来的努力应集中在标准化治疗标准，加强个性化护理和评估长期结果。

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.