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  • Carlstedt, AndersDepartment of Surgery, Karlstad Central Hospital, Karlstad, Sweden,Karlstad Cent Hosp, Sweden (author)

Management of Diastasis of the Rectus Abdominis Muscles : Recommendations for Swedish National Guidelines

  • Article/chapterEnglish2021

Publisher, publication year, extent ...

  • 2020-09-28
  • Sage Publications,2021
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-176182
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-176182URI
  • https://doi.org/10.1177/1457496920961000DOI
  • https://lup.lub.lu.se/record/4679fd6f-272a-46df-9ab1-d391350bbbf7URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-171054URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:144811895URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • First published online: September 28, 2020
  • Background: Diastasis of the rectus abdominis muscle is a common condition. There are no generally accepted criteria for diagnosis or treatment of diastasis of the rectus abdominis muscle, which causes uncertainty for the patient and healthcare providers alike. Methods: The consensus document was created by a group of Swedish surgeons and based on a structured literature review and practical experience. Results: The proposed criteria for diagnosis and treatment of diastasis of the rectus abdominis muscle are as follows: (1) Diastasis diagnosed at clinical examination using a caliper or ruler for measurement. Diagnostic imaging by ultrasound or other imaging modality, should be performed when concurrent umbilical or epigastric hernia or other cause of the patient's symptoms cannot be excluded. (2) Physiotherapy is the firsthand treatment for diastasis of the rectus abdominis muscle. Surgery should only be considered in diastasis of the rectus abdominis muscle patients with functional impairment, and not until the patient has undergone a standardized 6-month abdominal core training program. (3) The largest width of the diastasis should be at least 5 cm before surgical treatment is considered. In case of pronounced abdominal bulging or concomitant ventral hernia, surgery may be considered in patients with a smaller diastasis. (4) When surgery is undertaken, at least 2 years should have elapsed since last childbirth and future pregnancy should not be planned. (5) Plication of the linea alba is the firsthand surgical technique. Other techniques may be used but have not been found superior. Discussion: The level of evidence behind these statements varies, but they are intended to lay down a standard strategy for treatment of diastasis of the rectus abdominis muscle and to enable uniformity of management.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Bringman, SvenKarolinska Institutet,Karolinska Institute,Danderyd Hospital,Södertälje Hospital,Sodertalje Hosp, Sweden; Karolinska Inst, Sweden (author)
  • Egberth, MattiasDepartment of Surgery, Mora hospital, Mora, Sweden,Mora lasarett,Mora Hosp, Sweden (author)
  • Emanuelsson, PeterKarolinska Institute,Capio Centrum för titthålskirurgi (CFTK),Karolinska Inst, Sweden (author)
  • Olsson, AndersKarolinska Institute,Stockholm South General Hospital,Karolinska Inst, Sweden; Capio CFTK, Sweden (author)
  • Petersson, U.Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Skåne University Hospital,Lund Univ, Sweden(Swepub:lu)med-ufp (author)
  • Pålstedt, JoakimKarolinska Institute,Danderyd Hospital,Ersta Hospital,Karolinska Inst, Sweden; Ersta Hosp, Sweden (author)
  • Sandblom, G.Karolinska Institutet,Karolinska Institute,Danderyd Hospital,Stockholm South General Hospital,Karolinska Inst, Sweden; Soder Sjukhuset, Sweden(Swepub:lu)med-gsb (author)
  • Sjödahl, RuneLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US(Swepub:liu)runsj89 (author)
  • Stark, BirgitKarolinska Institutet,Karolinska Institute,Karolinska Inst, Sweden (author)
  • Strigård, KarinUmeå University,Umeå universitet,Kirurgi,Umea Univ, Sweden(Swepub:umu)kast0065 (author)
  • Tall, JaelKarolinska Institute,Danderyd Hospital,Ersta Hospital,Karolinska Inst, Sweden; Ersta Hosp, Sweden (author)
  • Theodorsson, Elvar,Professor,1953-Linköpings universitet,Linköping University,Medicinska fakulteten,Avdelningen för klinisk kemi och farmakologi,Region Östergötland, Klinisk kemi(Swepub:liu)elvth65 (author)
  • Department of Surgery, Karlstad Central Hospital, Karlstad, SwedenKarlstad Cent Hosp, Sweden (creator_code:org_t)

Related titles

  • In:Scandinavian Journal of Surgery: Sage Publications10:3, s. 452-4591457-49691799-7267

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