Diastasis Recti

A rectus diastasis or diastasis of the the rectus muscles is a separation of the rectus or "six-pack" muscles in the front of the abdomen.  Although not a true hernia, it can get larger over time and become symptomatic like a hernia.  This can lead to causing pain, pressure, and/or limitation to daily activities.  It can happen after pregnancy and weight gain.  Where a hernia is a hole through the fascial or strength layer of the abdominal wall, a diastasis is a widening of what is called the linea alba, or the attachment between the rectus muscles.  Sometimes hernias are associated with a diastasis and be at the belly button or above it.

Sometimes these are noticeable as bulges or ridges of the abdomen, usually between just below the sternum (breast bone) and the belly button.  When lying flat, some people may see an indentation between their rectus muscles and place their fingers in between.  When someone sits up or stands up, a patient may notice a bulge or protrusion in the middle of their abdomen.  Sometimes this can cause pain. 

There are several surgical options if a patient so chooses.  Regardless, surgery for a diastasis is usually reserved for select patients and your surgeon can discuss this with you.  Weight loss is recommended if overweight and smoking cessation is usually recommended as well.  

These can be repaired open and minimally invasively, more specifically, robotically laparoscopically with several small incisions strategically placed on the abdomen.  In this surgery, the rectus muscles are brought back together in the midline and secured with suture and if a hernia is present, it can be repaired at the same time.  This can be discussed in further detail with a surgeon who specializes in this, so therefore if you feel that you have a diastasis, you should follow-up with a surgeon.