Laparoscopic Abdominal Wall Reconstruction for Symptomatic Rectus Diastasis Comparing Two Surgical Methods

What this Trial Is About

Researchers are studying patients with symptomatic rectus diastasis, a condition where the abdominal muscles separate, causing pain and instability. The trial aims to evaluate if laparoscopic abdominal wall reconstruction is a safe treatment option and whether it improves quality of life, trunk stability, and reduces pain. The study also compares two laparoscopic methods suturing the linea alba alone or with added mesh. Participants will undergo one of two surgical procedures for abdominal wall reconstruction either narrowing the linea alba using continuous sutures alone or using continuous sutures combined with mesh. Both methods are performed laparoscopically, and the study uses a randomized, double-blind design to compare their outcomes. During the study, participants will be monitored for recurrence of rectus diastasis over one year. Pain levels will be assessed using the Visual Analog Pain Scale, and questionnaires like SF-36 and VHPQ will evaluate quality of life and pain before and after surgery at 1 and 3 years. Abdominal stability will also be measured to understand the surgerys impact. The total duration of participation may extend up to 3 years for follow-up assessments.

Abdominal Rectus Diastasis (ARD) Reconstruction