Diastasis of the rectus abdominis muscles.
An umbilical hernia is a protrusion of the contents of the abdominal cavity through a weak point.
It occurs frequently in women who have given birth.
Viscera and omentum can come out of the hernia, the smaller the hernial ring, the greater the chances of damage to the internal organs.
The abdominal content, either viscera or omentum, exits through the ring but then has difficulty returning to the cavity.
This can cause pain of varying intensity that is relieved once the patient or the doctor, through manual maneuvers, re-introduces the hernial content into the cavity.
In more serious cases it ends up generating necrosis, or damage to the intestine, which requires emergency intervention.
Diastasis of the rectus abdominis muscles is another frequent situation in women after pregnancy, it is also frequently seen in obese patients and in those who have lost a lot of weight.
When the abdominal wall is palpated, the separation between one rectus abdominis muscle and the other is easily perceived.
Externally it manifests itself because the patient loses the contour of the waist.
These situations are easily reversible, generally combining Laser Lipomodelation with a Plastic Surgery of the rectus abdominis muscles.
A few days after the intervention we can observe a harmonious body, with a thin waist and a strong abdominal girth, which will help her to carry out the efforts of daily life and some exercises that were difficult before.
This procedure is performed in the surgical unit of Hoogstra Caballito Medical Center.
It is performed under local anesthesia and sedation; with this we achieve safety and comfort, since for the patient it is like a general anesthesia and does not feel pain.
It is ambulatory, that is to say that the same day it is withdrawn to its home.
The next day you can bathe and after 7 days the stitches are removed.
Depending on the hernia, the degree of the diastasis of the muscles and the flaccidity of the skin, is the type of incision that is used.
The following is a young patient who had her second child a year ago. Three months ago a breast prosthesis was placed and now she is consulting us because she can see her wide waist, she refers to it by the name of batraciform, on palpation an umbilical hernia and a large diastasis of the rectus muscles of the abdomen are found. It does not present sagging skin.
The procedure we performed was a laser lipomodelation of the anterior, lateral and back abdomen.
To avoid scarring, an abdominal Plastic Surgery was performed, that is, the plication of the abdominal muscles and fascia endoscopically through a minimal incision in the navel.
For those patients who have flaccidity and diastasis, it is generally necessary to make an incision close to the pubic hair, the extent of which will depend on the amount of skin that needs to be removed.
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