Jh. Van Uchelen et al., The long-term durability of plication of the anterior rectus sheath assessed by ultrasonography, PLAS R SURG, 107(6), 2001, pp. 1578-1584
The purpose of this study was to assess the long-term durability of a stand
ard vertical plication of the anterior rectus sheath. For this purpose, 70
women who had undergone this procedure as part of an abdominoplasty were se
nt a questionnaire, their records were studied, and they were e invited bac
k to the clinic for an examination using ultrasound. A total of 63 patients
returned the questionnaire, and 40 were willing to attend a follow-up cons
ultation and ultrasound investigation. The presence of rectus diastasis was
assessed by ultrasound (a real time scanner with a 7.5-MHz linear probe).
The study showed that after a follow-up of 32 to 109 months (mean, 64 month
s), standard plication of the abdominal wall with absorbable material led t
o residual or recurrent diastasis in 40 percent of the patients. It also co
nfirmed that vertical plication only is not enough to improve the waistline
and may eventually lead to epigastric bulging.