Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of abdominal wall laxity and midline protrusion. Reports persistent separation of rectus abdominis muscles, exacerbated by physical exertion or intra-abdominal pressure. Denies associated umbilical hernia or bowel obstruction symptoms. Primary concerns include aesthetic contour deformity and core instability.
Clinical Examination Findings
Abdominal examination reveals a palpable midline diastasis recti measuring [X] cm in width at the supra-umbilical, umbilical, and infra-umbilical levels. Positive "coning" or "doming" sign noted upon active trunk flexion. No evidence of incarcerated hernia, fascial defects, or skin ulceration. Abdominal wall tone is diminished with significant laxity of the linea alba.
Treatment Protocol
Recommended treatment plan includes core strengthening physical therapy as a conservative measure. For refractory cases or significant functional impairment, surgical intervention via abdominoplasty with rectus plication (fascial imbrication) is indicated to restore midline integrity and abdominal wall tension. Post-operative care involves compression garment usage and activity restrictions for 6 weeks.