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Effect of re-approximation of the rectus muscles on diastasis recti abdominis at cesarean section — a prospective cross-sectional study
, 2, 1, 1, 1
Affiliations- Department of Obstetrics and Gynecology, Selcuk University Medicine Faculty, Selçuklu, Konya, Turkey
- Konya Research and Training Hospital, Meram, Konya, Turkey, Türkiye
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Abstract
Objectives: Caesarean section (CS) is one of the most frequently performed surgical procedures in the world and Turkey. In
this study, we aimed to investigate the relationship between re-approximation of the rectus muscles during CS and the severity
of diastasis recti abdominis in the first postoperative month. To investigate the relationship between re-approximation
of the rectus muscles during CS and the severity of diastasis recti abdominis in the first postoperative month.
Material and methods: The study was designed as a prospective cross-sectional study. Patients were divided into two
groups: parietal peritoneum closure only (Group 1), and closure of the parietal peritoneum and re-approximation of rectus
muscle (Group 2). The distance between the rectus muscles and the thickest rectus muscle thickness were measured
one month after CS from three anatomic regions using superficial ultrasonography by the same blinded physician. The
anatomic regions were described as xiphoid, 3 cm above the umbilicus, and 2 cm below the umbilicus. The relation of the
measurements between the groups was evaluated.
Results: There was a total of 128 patients, 64 in Group 1 and 64 in Group 2. There were no statistical differences between
the groups in terms of the distance between rectus muscles and the thickness of rectus muscle at the described anatomic
regions (p > 0.05).
Conclusion: Re-approximation of rectus muscles has no effect on the prevention of diastasis recti, which is an important
cosmetic problem.
Abstract
Objectives: Caesarean section (CS) is one of the most frequently performed surgical procedures in the world and Turkey. In
this study, we aimed to investigate the relationship between re-approximation of the rectus muscles during CS and the severity
of diastasis recti abdominis in the first postoperative month. To investigate the relationship between re-approximation
of the rectus muscles during CS and the severity of diastasis recti abdominis in the first postoperative month.
Material and methods: The study was designed as a prospective cross-sectional study. Patients were divided into two
groups: parietal peritoneum closure only (Group 1), and closure of the parietal peritoneum and re-approximation of rectus
muscle (Group 2). The distance between the rectus muscles and the thickest rectus muscle thickness were measured
one month after CS from three anatomic regions using superficial ultrasonography by the same blinded physician. The
anatomic regions were described as xiphoid, 3 cm above the umbilicus, and 2 cm below the umbilicus. The relation of the
measurements between the groups was evaluated.
Results: There was a total of 128 patients, 64 in Group 1 and 64 in Group 2. There were no statistical differences between
the groups in terms of the distance between rectus muscles and the thickness of rectus muscle at the described anatomic
regions (p > 0.05).
Conclusion: Re-approximation of rectus muscles has no effect on the prevention of diastasis recti, which is an important
cosmetic problem.
Keywords
cesarean section; diastasis recti abdominis; parietal peritoneum; umbilicus
About this articleTitle
Effect of re-approximation of the rectus muscles on diastasis recti abdominis at cesarean section — a prospective cross-sectional study
Journal
Issue
Article type
Research paper
Pages
132-136
Published online
2021-02-22
Page views
1435
Article views/downloads
1933
DOI
Bibliographic record
Ginekol Pol 2021;92(2):132-136.
Keywords
cesarean section
diastasis recti abdominis
parietal peritoneum
umbilicus
Authors
Ersin Çintesun
Feyza Nur İncesu Çintesun
Meltem Aydoğdu
Denizhan Bayramoğlu
Çetin Çelik
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