Abstract: Objective:To investigate the clinical efficacy of Laparoscopic-assisted linea alba reconstruction for postpartum diastasis recti.
Methods:The retrospective crosssectional study was conducted. The clinical data of 14 patients with postpartum diastasis recti who were admitted to Ruijin Hospital of Shanghai Jiaotong University School of Medicine between June 2016 and June 2018 were collected. Patients underwent Laparoscopic-assisted linea alba reconstruction. Observation indicators: (1) intra and post-operative recovery situations; (2) follow-up. follow-up using outpatient examination and telephone interview was performed to detect post-operative longterm complications, diastasis recti and umbilical hernia recurrence up to September 2018. Measurement data with normal distribution were represented as ±s and measurement data with skewed distribution were described as M(P25,P75).
Results:(1) Intra and post-operative situations: 14 patients underwent successful Laparoscopic-assisted linea alba reconstruction and 8 complicated with umbilical hernia area of (6± 3)m² were sutured and closed. The mesh area, operation time, visual analogue score for pain at the first day after operation, time of post-operative drainagetube removal and duration of post-operative hospital stay were respectively (214±26)m², (74±14)minutes, 3.7±0.6, (3.3±0.7)days and (4.1±1.2)days. No patient required administration of analgesics and had post-operative complication. (2) follow-up: 14 patients were followed up for 17 months (5 months, 21 months). During the follow-up, 1 patient returned visit at post-operative day 10 due to surgical incision drainage and cured after dressing change. The other patients had no complications, without diastasis recti and umbilical hernia recurrence.
Conclusion:Laparoscopic-assisted linea alba reconstruction for postpartum diastasis recti is safe and effective.