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Restoring Core Strength After Rectus Diastasis Repair: A Prospective Controlled Study of Abdominal Muscle Function Following Abdominoplasty.

Aesthetic plastic surgery 2026 Vol.50(6) p. 2277-2286 참고 30건

Bruno A, Calicchia A, Schirosi M

원문 ↗ DOI ↗

관련 도메인

복부성형술 Abdominoplasty 장액종 Seroma

Abstract

[BACKGROUND] Diastasis recti abdominis (DRA) is characterized by a pathological widening of the linea alba, leading to impaired core stability, reduced trunk function, and compromised quality of life. Despite the widespread use of abdominoplasty with rectus sheath plication for the correction of diastasis, objective functional outcomes remain underreported.

[OBJECTIVE] This study aims to evaluate the impact of abdominoplasty with rectus sheath plication on abdominal muscle strength, anatomical restoration and patient-reported outcomes in patients with DRA.

[METHODS] A prospective single-center study was conducted on 50 female patients (mean age 42.6 ± 7.8 years) with moderate-to-severe DRA (inter-rectus distance [IRD] ≥ 2.0 cm). Objective core strength was assessed using isokinetic dynamometry (Biodex System 4), and anatomical restoration was evaluated via high-resolution ultrasonography. Patient-reported functional capacity was measured with a validated outcome instrument. Assessments were performed at baseline, 1 month, and 6 months postoperatively.

[RESULTS] At 6 months, mean core strength increased from 182 ± 25 N to 256 ± 28 N. IRD significantly decreased from 3.4 ± 0.6 cm to 0.8 ± 0.3 cm (p < 0.001). Patient-reported outcome measure (PROM) scores improved from 56.2 ± 8.4 to 82.7 ± 6.9 (p < 0.001). Therer was an ultrasound-confirmed complete midline continuity in all patients, with no recurrences >1 cm. Complications were minimal (seroma 6%, no major events).

[CONCLUSIONS] Abdominoplasty with rectus sheath plication improves core strength, restores linea alba integrity, and enhances the quality of life. Beyond aesthetic outcomes, it constitutes a biomechanically restorative procedure with reconstructive value.

[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 abdominoplasty 복부성형술 dict 4
해부 Muscle scispacy 1
해부 trunk scispacy 1
해부 midline scispacy 1
합병증 Rectus Diastasis scispacy 1
합병증 rectus sheath scispacy 1
합병증 seroma 장액종 dict 1
약물 IRD C0282527
Infantile Refsum Disease (disorder)
 scispacy 1
약물 [BACKGROUND] Diastasis recti abdominis scispacy 1
약물 [CONCLUSIONS] Abdominoplasty scispacy 1
질환 reduced trunk function scispacy 1
질환 IRD C0282527
Infantile Refsum Disease (disorder)
 scispacy 1
질환 PROM → Patient-reported outcome measure C4277735
Patient Reported Outcome Measures
 scispacy 1
질환 ultrasound-confirmed scispacy 1
질환 DRA → Diastasis recti abdominis scispacy 1
기타 linea alba scispacy 1
기타 DRA → Diastasis recti abdominis scispacy 1

MeSH Terms

Humans; Female; Abdominoplasty; Prospective Studies; Adult; Muscle Strength; Middle Aged; Rectus Abdominis; Diastasis, Muscle; Treatment Outcome; Recovery of Function; Abdominal Muscles; Quality of Life; Follow-Up Studies; Esthetics; Risk Assessment; Cohort Studies; Patient Reported Outcome Measures

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