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Early complications, pain, and quality of life after reconstructive surgery for abdominal rectus muscle diastasis: a 3-month follow-up.
Department for Surgery, CLINTEC, Karolinska Institutet, Stockholm, Sweden.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
Department for Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
2014 (English)In: Journal of plastic, reconstructive & aesthetic surgery : JPRAS, ISSN 1878-0539, Vol. 67, no 8, 1082-1088 p.Article in journal (Refereed) Published
Abstract [en]

AIM: The aim of this study was to evaluate early complications following retromuscular mesh repair with those after dual layer suture of the anterior rectus sheath in a randomised controlled clinical trial for abdominal rectus muscle diastasis (ARD).

METHODS: Patients with an ARD wider than 3 cm and clinical symptoms related to the ARD were included in a prospective randomised study. They were assigned to either retromuscular inset of a lightweight polypropylene mesh or to dual closure of the anterior rectus fascia using Quill self-locking technology. All patients completed a validated questionnaire for pain assessment (Ventral Hernia Pain Questionnaire, VHPQ) and for quality of life (SF36) prior to and 3 months after surgery.

RESULTS: The most frequently seen adverse event was minor wound infection. Of the patients, 14/57 had a superficial wound infection; five related to Quill and nine to mesh repair. No deep wound infections were reported. Patient rating for subjective muscular improvement postoperatively was better in the mesh technique group with a mean of 6.9 (range 0-10) compared to a mean of 4.8 (range 0-10) in the Quill group (p=0.01). The pre- and post-operative SF36 scores improved in both groups.

CONCLUSIONS: There was no significant difference between the two surgical techniques in terms of early complications and perceived pain at the 3-month follow-up. Both techniques may be considered equally reliable for ARD repair in terms of adverse outcomes during the early postoperative phase, even though patients operated with a mesh experienced better improvement in muscular strength.

Place, publisher, year, edition, pages
Elsevier, 2014. Vol. 67, no 8, 1082-1088 p.
Keyword [en]
Early complications, Quill suture, Rectus diastasis, Retromuscular mesh
National Category
Surgery
Identifiers
URN: urn:nbn:se:umu:diva-91715DOI: 10.1016/j.bjps.2014.04.015PubMedID: 24880577OAI: oai:DiVA.org:umu-91715DiVA: diva2:737845
Available from: 2014-08-14 Created: 2014-08-14 Last updated: 2014-09-11Bibliographically approved

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