Simon Nienhuijs, Renske Wijgers, Elles Schipper, Tammo de Vries Reilingh, Johannes Wegdam
{"title":"男性直肌转移：叙述回顾。","authors":"Simon Nienhuijs, Renske Wijgers, Elles Schipper, Tammo de Vries Reilingh, Johannes Wegdam","doi":"10.1007/s10029-025-03404-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Rectus diastasis in male patients is underexposed in the literature. This review aims to list the available evidence and summarize recommendations for clinicians.</p><p><strong>Methods: </strong>A multidatabase literature search was performed with a focus on rectus diastasis (RD) in male patients. Studies were screened independently, after unblinding discrepancies discussed amongst the group. Quality of included studies was assessed and data was extracted using predefined criteria.</p><p><strong>Results: </strong>Twenty-one studies were included for qualitative syntheses. Prevalence of RD in males have been reported 25-30% and higher with concomitant findings such as other abdominal wall hernia (47%) and aortic aneurysm (67%). This outreached the portion of treated rectus diastasis, assumed to be between 4 and 14%. Quality of linea alba was described adversely affected by visceral obesity, less fibers, and smoking. Core stability was found to be related with RD in terms of low back pain in males, while body image was not encountered as a reported outcome. Limited number of studies shared algorithms for treatment of choice, showing a preference for mesh-based approach for male RD. This has also been suggested for hernia repair alongside RD to reduce the recurrence rate.</p><p><strong>Conclusion: </strong>Based on limited number of reports, the prevalence of RD in males is at least double the portion undergoing a repair. The community is asked to pay more attention for rectus diastasis in male patients; if present, inquire about the complaints and in case of a ventral hernia, check the inter recti distance.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"212"},"PeriodicalIF":2.4000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Rectus diastasis in males: a narrative review.\",\"authors\":\"Simon Nienhuijs, Renske Wijgers, Elles Schipper, Tammo de Vries Reilingh, Johannes Wegdam\",\"doi\":\"10.1007/s10029-025-03404-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Rectus diastasis in male patients is underexposed in the literature. This review aims to list the available evidence and summarize recommendations for clinicians.</p><p><strong>Methods: </strong>A multidatabase literature search was performed with a focus on rectus diastasis (RD) in male patients. Studies were screened independently, after unblinding discrepancies discussed amongst the group. Quality of included studies was assessed and data was extracted using predefined criteria.</p><p><strong>Results: </strong>Twenty-one studies were included for qualitative syntheses. Prevalence of RD in males have been reported 25-30% and higher with concomitant findings such as other abdominal wall hernia (47%) and aortic aneurysm (67%). This outreached the portion of treated rectus diastasis, assumed to be between 4 and 14%. Quality of linea alba was described adversely affected by visceral obesity, less fibers, and smoking. Core stability was found to be related with RD in terms of low back pain in males, while body image was not encountered as a reported outcome. Limited number of studies shared algorithms for treatment of choice, showing a preference for mesh-based approach for male RD. This has also been suggested for hernia repair alongside RD to reduce the recurrence rate.</p><p><strong>Conclusion: </strong>Based on limited number of reports, the prevalence of RD in males is at least double the portion undergoing a repair. The community is asked to pay more attention for rectus diastasis in male patients; if present, inquire about the complaints and in case of a ventral hernia, check the inter recti distance.</p>\",\"PeriodicalId\":13168,\"journal\":{\"name\":\"Hernia\",\"volume\":\"29 1\",\"pages\":\"212\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-06-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hernia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s10029-025-03404-w\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hernia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10029-025-03404-w","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
Purpose: Rectus diastasis in male patients is underexposed in the literature. This review aims to list the available evidence and summarize recommendations for clinicians.
Methods: A multidatabase literature search was performed with a focus on rectus diastasis (RD) in male patients. Studies were screened independently, after unblinding discrepancies discussed amongst the group. Quality of included studies was assessed and data was extracted using predefined criteria.
Results: Twenty-one studies were included for qualitative syntheses. Prevalence of RD in males have been reported 25-30% and higher with concomitant findings such as other abdominal wall hernia (47%) and aortic aneurysm (67%). This outreached the portion of treated rectus diastasis, assumed to be between 4 and 14%. Quality of linea alba was described adversely affected by visceral obesity, less fibers, and smoking. Core stability was found to be related with RD in terms of low back pain in males, while body image was not encountered as a reported outcome. Limited number of studies shared algorithms for treatment of choice, showing a preference for mesh-based approach for male RD. This has also been suggested for hernia repair alongside RD to reduce the recurrence rate.
Conclusion: Based on limited number of reports, the prevalence of RD in males is at least double the portion undergoing a repair. The community is asked to pay more attention for rectus diastasis in male patients; if present, inquire about the complaints and in case of a ventral hernia, check the inter recti distance.
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.
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