SURGICAL RECONSTRUCTION OF DIASTASIS RECTI ABDOMINIS (DRA) WITH PLICATION, UMBILICAL HERNIORRHAPHY AND ABDOMINOPLASTY - A CASE REPORT
Dr. Madhavi S. Banarase*, Dr. Sahil N. Rahate, Dr. Bharat K. Oza, Dr. Brinda S. Patil
ABSTRACT
Divarication of the recti, or diastasis recti, refers to the splitting of the parallel rectus abdominis muscles along the
abdominal midline, resulting from the stretching and thinning of the connective tissue, called linea alba, situated
between them. In Ayurveda, divarication of recti (diastasis recti) is primarily correlated with an aggravation
of Vata dosha, a result of the significant physiological changes the body undergoes, particularly during and after
pregnancy. Pregnancy is considered to leave the body in a state of Shunya Sharira (empty body), which is
dominated by Vata dosha. Vata is associated with movement, space, and dryness, and its imbalance can lead to
laxity in connective tissues (linea alba) and weakened muscle tone. External therapies like Abhyanga (oil massage)
and Udaraveshtana (abdominal binding) are validated by evidence demonstrating cortisol reduction, oxytocin
enhancement, and improved management of Diastasis Recti Abdominis (DRA) (1). Management and treatment
involve from conservative to surgical repair. Conservative treatment emphasizes core strengthening and avoiding
exercises that exacerbate the gap, with physiotherapy enhancing core strength, stability, and abdominal tone
restoration. Surgical repair an option for severe, persistent cases, involving an incision to bring the muscles back
together. This case report of 31yr old female patient complaint of swelling at umbilical region and backache with
bulging of abdomen since 3 months. Patient having history of G4P2L2D0A2. This patient underwent Rectus
plication with abdominoplasty with umbilical herniorrhaphy. Patient wound was healed primarily with minimal
scarring and less postoperative pain.
Keywords: Diastasis abdominis recti, Abdominoplasty, Umbilical herniorrhaphy.
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