STUDY OF OUTCOME OF MODIFIED SHOELACE REPAIR DONE FOR DIVARICATION OF RECTI
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 12
Abstract
BACKGROUND Divarication of recti is characterised by thinning and widening of linea alba combined with laxity of the ventral abdominal musculature. It is often misclassified as a primary ventral hernia. But the musculofascial continuity of the midline and subsequent absence of a true hernia sets divarication apart from a ventral hernia. We wanted to evaluate the efficacy of surgical technique of rectus sheath repair and mesh placement in a series of 12 cases of divarication of recti. MATERIALS AND METHODS Patients underwent modified shoelace repair which involves reconstruction of linea alba along with use of polypropylene mesh to reinforce fascial layer. All the patients were followed up for a minimum of 24 months. A proforma was maintained for each patient, documenting patient details, complications and postoperative course. RESULTS All the 12 patients studied were females who had normal delivery at least 3 years prior to period of study. The age group of the patients varied between 26-36 years. About 33% of patients had pain beyond postoperative day 2, which needed parenteral analgesics for another 2 more days. None of the patients complained of pain on follow up in the OPD. CONCLUSION Modified Shoelace repair with mesh placement is a safe and effective procedure that can be used for surgical correction of divarication of recti.
Authors and Affiliations
Reghu Sankar P. , Joshua C. C.
Keywords
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- EP ID EP615673
- DOI 10.18410/jebmh/2019/212
- Views 89
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