Multidetector Computed Tomography Criteria of Operative Treatment of Diastasis Recti Abdominis

We introduce an experience of surgical treatment of 92 patients with diastasis recti abdominis (DRA). A high efficiency of multidetector computed tomography (MDCT) in this category of patients is shown. There were 3 degrees of DRA distinguished depending on the maximal inter-rectal distance (MID): I degree – MID < 30 mm, II degree – MID = 30-50 mm, III degree – MID > 50 mm. We offer to use interrupted sutures for 1/3 of linea alba length over the umbilicus in case of I degree of DRA. In case of II grade of DRA U-shaped sutures for 2/3 of linea alba length over the umbilicus should be applied with the use of mesh implants. Plasty is performed only with mesh implant in case of III degree of DRA. For abdominal compartment syndrome prophylaxis, diastasis line was dissected above the herniation, hernioplasty and DRA plasty was performed with use of mesh implants. There were no lethal cases. Long-term results were monitored from 1 to 10 years. DRA recurrences were not observed.