Table 2.
DRAM: Outcome of surgery.
| Author | Year | Study type | No | Follow-up | Main findings |
|---|---|---|---|---|---|
| Emanuelsson et al. 9 | 2016 | RTC Retro muscular mesh repair versus double-row self-retaining sutures (Quill) |
86 | 1 year | Improved abdominal wall stability and muscle strength. Improved functional ability and quality of life. No difference between the two groups at 1 year. One early recurrence in the Quill group. Five (6%) patients with encapsulated seroma needing reoperation. |
| Olsson et al. 5 | 2019 | Prospective Cohort study. Women with DRAM and symptoms resistant to training. Open double-row plication of linea alba (Quill) |
60 | 1 year | Surgical reconstruction resulted in improved abdominal trunk function and quality of life (SF-36) at 1 year. No recurrence was noted at one year of follow-up. Postoperative complications (bleeding, wound infection and seroma) was found in eleven patients. Reoperation was required in four patients. |
| Van Uchelen et al. 32 | 2001 | Cross-sectional study | 40 | 32–109 months | 40% recurrence rate after suture repair of DRAM in connection with abdominoplasty. |
| Nahas et al. 35 | 2005 | Case series | 12 | 76–84 months | No recurrent diastasis after repair with non-absorbable suture in connection with abdominoplasty |
| Shirah and Shirah 36 | 2016 | Retrospective cohort study Comparing open and laparoscopic mesh repair |
216 | 2 years | Wound infections and seroma more common in the open repair group. No recurrence in any of the two groups after 24 months of follow-up. |
DRAM: diastasis of the rectus abdominis muscle.