Assessment of videoendoscopy-assisted abdominoplasty for diastasis recti patients

Biomed J. 2013 Sep-Oct;36(5):252-6. doi: 10.4103/2319-4170.113374.


Background: The objective of this retrospective analysis was to assess the treatment of endoscope abdominoplasty for diastasis recti deformity patients.

Methods: From January 1999 to January 2011, 88 patients ranging from 35 to 46 years in age were treated with videoendoscopy-assisted minimally invasive surgery. All patients were Asian. Early (< 3 months) and late (> 6 months) complications were assessed throughout a follow-up period of up to 66 months.

Results: Observations were conducted at the end of three weeks, six months, and 66 months. Early on, all patients experienced numbness with local paresthesia (100%) closely after treatment, and reported the feelings to subside by six months post-treatment. Four patients (4.5%) experienced ecchymosis, and three patients (3.4%) were affected by seroma. One patient (1.1%) had dyspnea immediately after surgery, which recovered after oxygen (O2) administration. Only one patient (1.1%) experienced minimal skin loss, which recovered after 3 months of surgery, and there were no further complications. Hypertrophic scars were apparent in three patients (3.4%) who showed no unwanted signs or further complications after post-operative scar care. No hematoma had been reported. All complications subsided (> 6 months) postoperatively.

Conclusions: Videoendoscopy-assisted abdominoplasty can be used for diastasis recti deformity with minimal excess skin. Our study demonstrated effects against the formation of seroma and other complications.

MeSH terms

  • Abdominoplasty* / methods
  • Adult
  • Endoscopy* / methods
  • Female
  • Humans
  • Middle Aged
  • Minimally Invasive Surgical Procedures
  • Rectus Abdominis / surgery*
  • Retrospective Studies
  • Treatment Outcome