OC-009 DIASTASIS RECTI. MDT POST-PREGNANCY PROGRAM

Autor: O Santilli, H Santilli, N Nardelli, F Poso, P Paolucci, R Scaravonati
Rok vydání: 2023
Předmět:
Zdroj: British Journal of Surgery. 110
ISSN: 1365-2168
0007-1323
Popis: Aim To analyze the results collected by the multidisciplinary program. Material & Methods The diastasis post-pregnancy program used a systematic evaluation that included an abdominal wall surgeon, plastic surgeon, physiotherapist, nutritionist, and radiologist. The physiotherapist used tests to analyze the strength, stability, and functionality of the abdominal wall, also evaluating synergy with the diaphragm and pelvic floor. The same tests were used to check up on the treatment, plus the ultrasound evaluation. We propose a classification, adapting the specific treatment depending on the degree of the patient's condition. Grade I (Increase in Waist): performed physiotherapy; Grade II (Bulge): started physiotherapy plan, with associated surgical treatment due to lack of response; Grade III (Herniation): underwent surgery as the first treatment in addition to physiotherapy protocol. Endoscopic Rives-Stoppa has been used to repair midline hernias and diastasis. Results From January 2017 and June 2022, 1344 patients completed the program. The average age was 42. The most frequent clinical entity for consultation was: cosmesis discomfort (84%). According to the Clinical classification: Grade I: 941 patients (70%)only performed physiotherapy treatment. Grade II: 307 patients (22%), surgical treatments were necessary on 113 patients (36%). Grade III: 96 patients (7%) and 34% require a dermolipectomy. The bulging with functional test deficits is related in all patients. Physiotherapy tests and ultrasound check-ups post-treatment showed improvement in 77% of patients. Conclusions The diastasis recti must focus from three points of view: anatomical, functional, and cosmesis. The multidisciplinary approach concept showed good initial results.
Databáze: OpenAIRE
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