What is the relationship between diastasis recti and abdominal hernias?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Diastasis recti (widened linea alba) is clinically insignificant, and operative repair is not required. However, there may be small openings in the linea alba through which preperitoneal fat can protrude. These epigastric hernias occur in children as well as in adults, suggesting congenital defects. Defects adjacent to the umbilicus are referred to as paraumbilical hernias, whereas more cephalad defects are called epiploceles or ventral hernias. These midline hernias present as lumps anywhere along the linea alba and tend to cause sudden severe pain with exercise.


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