peTEP repair for rectus diastasis
A pre-aponeurotic endoscopic approach to repair rectus diastasis and associated small midline hernias through small access points.
Indications
- Rectus diastasis with or without a small midline hernia
- Umbilical or epigastric hernia associated with diastasis
- Patients seeking a minimally invasive approach with small scars
- Recurrence after previous open repair in selected cases
How it works
The peTEP approach creates a working space between the rectus muscle and the aponeurosis (pre-aponeurotic plane). This allows the surgeon to plicate the linea alba, repair associated hernias and, when needed, place a mesh, all through small ports.
Because the peritoneal cavity is not opened, the risk of bowel-related complications is reduced.
Assessment
A complete assessment includes clinical examination, dynamic ultrasound of the abdominal wall and evaluation of the pelvic floor and posture. A CT scan is used if larger defects are suspected.
Recovery
Early walking is encouraged. Abdominal-pelvic rehabilitation usually begins around the second postoperative month. Heavy lifting is avoided until the surgeon clears it.
