Rectus Diastasis Corrected with Absorbable Suture: A Long-Term Evaluation

Abstract

Correction of rectus diastasis (RD) is performed during most abdominoplasties. This study aimed to evaluate the long-term result of RD correction when the plication of the anterior rectus sheath is performed with an absorbable suture. Abdominoplasty was performed for 12 women who presented with Nahas' type A musculoaponeurotic deformity. The RD was measured preoperatively with two computed tomography (CT) scan slices at two levels: 3 cm above and 2 cm below the umbilicus. The bony levels at which the slices were taken served as a reference for the postoperative CT scans. During the operation, the RD was measured with a ruler at the same levels as the preoperative CT scan slices. The force necessary to bring the medial edge of the rectus muscle to the midline was measured on both levels with a dynamometer. Plication of the anterior rectus sheath was performed using a double-layer 0-PDS (polydioxanone) suture. Postoperative CT scans were performed 3weeks after the operation. A long-term follow-up CT scan was performed 32-48months postoperatively for every patient. The 3-week postoperative CT scan proved that the correction of RD was achieved by the procedure. Despite the fact that there were different abdominal wall resistances and that the average weight gain during this period was 4.5kg, the long-term CT-scans showed no recurrence of RD for any patient of this series in either the superior or inferior abdomen. Plication of the anterior rectus sheath with PDS suture to correct RD seems to be a long-lasting procedure.