Hernia Surgery
Abdominal Wall Hernia (Rectus Diastasis)
An abdominal wall hernia and rectus diastasis involve the separation or weakening of the muscles in the midline of the abdomen, causing the intra-abdominal structures to bulge forward. It is common in women after childbirth and in obesity.
Overview
In treatment, primary repair is preferred for small defects, while for large defects that create functional loss, surgical approaches involving mesh and, when necessary, component separation (the Ramirez technique) are preferred. Techniques such as robotic eTEP accelerate recovery.
Who Is It For?
- Those experiencing a persistent abdominal bulge and functional loss after childbirth
- Individuals with a palpable swelling or weakness in the abdominal midline
- Cases combined with recurrent or large incisional hernias
- Those with abdominal wall laxity or hernia after weight loss
Treatment Process
- 1
Pre-Assessment & Diagnosis
The diagnosis is confirmed and the stage of the disease clarified through a detailed history, physical examination and the necessary imaging and laboratory tests.
- 2
Planning & Preparation
An anaesthesia consultation, bleeding profile and review of any accompanying conditions are carried out; a multidisciplinary council decision is taken when needed.
- 3
Procedure / Operation
The procedure is performed with the technique most suitable for the patient (laparoscopic, robotic or open); tissue integrity and oncological principles are preserved.
- 4
Follow-up & Monitoring
Early mobilization, pain control and wound monitoring are provided; suture removal and a general assessment check-up are planned after discharge.
Recovery & Aftercare
In mesh repair, the hospital stay is short and pain is under control. Activities that strain the abdominal muscles are restricted for 6 weeks.
Hospital Stay
1-3 days
Recovery Time
2-4 weeks
Follow-up
Day 10 and week 6
Frequently Asked Questions
Does rectus diastasis improve with exercise?
In mild diastasis, targeted exercises can contribute; however, large and fixed defects and cases with a hernia require surgical treatment.
Is the abdomen flatter after surgery?
Because the abdominal wall muscles are brought back toward the midline, significant flattening is seen; although this is not an 'aesthetic' operation on its own, it provides functional and visual improvement.
Is using mesh mandatory?
In large or recurrent defects, mesh significantly reduces the risk of recurrence. In small local defects, primary repair may be sufficient.
What is component separation?
It is an advanced technique that, in very wide midline defects, allows the abdominal wall muscles to be released in a controlled manner so they can be brought together at the midline.
The medical information on this page has been reviewed by Prof. Dr. Vahit Onur Gül. Last updated: 31 Temmuz 2026.
This information is for general guidance only and does not replace examination, diagnosis or treatment. Please consult your physician about your symptoms.
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