Pubblicazioni

Autori:

Carrara, Alessandro; Catarci, Marco; Fabris, Luca; Zuolo, Michele; Pellecchia, Luigi; Moscatelli, Paolo; Dorna, Adriano; Motter, Michele; Pertile, Riccardo; Tirone, Giuseppe

Titolo:

Prospective observational study of abdominal wall reconstruction with THT technique in primary midline defects with diastasis recti: clinical and functional outcomes in 110 consecutive patients

Anno:

2021

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Referee:

No

Nome rivista:

SURGICAL ENDOSCOPY

ISSN Rivista:

0930-2794

N° Volume:

35

Numero o Fascicolo:

9

Intervallo pagine:

5104-5114

Parole chiave:

Abdominal wall repair; Midline hernias; Rectus diastasis; Stapled repair; THT technique

Breve descrizione dei contenuti:

Introduction Surgical treatment of diastasis recti is still a matter of debate. Open approaches such as abdominoplasty, which offer the possibility to combine reparation of the diastasis with abdominal cosmetic surgery, are challenged by the emerging less-invasive laparoscopic or robotic techniques that offer shorter recovery for patients. However, evidence in favour of one of the two approaches concerning both short- and long-term complications and functional results is still lacking. In this paper, we analysed clinical and functional results of a new endo-laparoscopic technique for midline reconstruction (THT technique) in patients with primary abdominal wall defects associated with diastasis recti. Methods Prospective observational study on 110 consecutive patients was submitted to endo-laparoscopic reconstruction of the abdominal wall with linear staplers. Morbidity and relapse rates with clinical and radiological follow-up were recorded at 1, 6, 12, and 24 months after the operation. Data regarding the impact of surgery on patients' quality of life (EuraHSQol) on chronic low back pain (Oswestry Disability Index, ODI) and urinary stress incontinence (Incontinence Severity Index, ISI) were gathered. Results After a mean follow-up of 14 months, the morbidity rate was 9.1% and no recurrences were recorded. 6-month follow-up ultrasound showed a rectus muscles mean distance of 6.7 mm; EuraHSQol, ODI, and ISI scores significantly improved in 93%, 77%, and 63% of the cases, respectively. Conclusions The THT technique proved to be a feasible, safe, and effective alternative for corrective surgery of primary midline hernias associated with diastasis recti. Short- and mid-term results are encouraging but need to be confirmed by further studies with longer follow-up. The achieved midline reconstruction offers a significant improvement of patients' perceived quality of life through reduction of abdominal wall pain, bulging, low back pain, and urinary stress incontinence.

Id prodotto:

140196

Handle IRIS:

11562/1128888

ultima modifica:

21 giugno 2024

Citazione bibliografica:

Carrara, Alessandro; Catarci, Marco; Fabris, Luca; Zuolo, Michele; Pellecchia, Luigi; Moscatelli, Paolo; Dorna, Adriano; Motter, Michele; Pertile, Riccardo; Tirone, Giuseppe, Prospective observational study of abdominal wall reconstruction with THT technique in primary midline defects with diastasis recti: clinical and functional outcomes in 110 consecutive patients «SURGICAL ENDOSCOPY» , vol. 35 , n. 9 , 2021 , pp. 5104-5114

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