Abstract：
:Because of the lack of agreement on when rectus diastasis (RD) is pathologic, the aim was to investigate indications for surgical repair. This study presents classifications of RD, current knowledge on the relation to pregnancy, and conservative and surgical management. A systematic search in Pubmed, Embase, Cochrane, and Cinahl revealed 437 studies. Inclusion criteria were applied according to the above mentioned subjects of interest. In total 28 studies were included, representing 3725 patients, 11 of these by assessing reference lists of included studies. Only one RCT was found; most studies were case-series lacking statistical analysis. RD was common in post-partum women. Antepartum activity level may have a protective effect on RD and exercise may improve post-partum symptoms of RD. Repair was done during abdominoplasty or laparoscopically. The patient-satisfaction was high and long-term recurrence was reported by one study, while five reported no recurrence. Overall major complications were few, while minor complications were primarily seroma and wound complications. RD is by itself not a true hernia and, therefore, not associated with the risk of strangulation. Repair is mostly done due to cosmetic reasons. The condition does not necessarily require repair, and conservative management may be an alternative. If done, the protrusion of the abdomen, rather than the diastasis itself should influence the decision of repair. It is recommended that future studies use the established classifications (e.g. Beer, Rath, or Nahas) when reporting RD and long-term outcome of treatment. Comparison of surgical techniques and studies that address and compare conservative management with surgery are needed.
journal_name
J Plast Surg Hand Surgjournal_title
Journal of plastic surgery and hand surgeryauthors
Akram J,Matzen SHdoi
10.3109/2000656X.2013.859145subject
Has Abstractpub_date
2014-06-01 00:00:00pages
163-9issue
3eissn
2000-656Xissn
2000-6764journal_volume
48pub_type
杂志文章,评审abstract：:We compared an uncemented joint replacement (Elektra) with trapeziectomy (with ligament reconstruction and tendon interposition, LRTI) for the treatment of primary osteoarthritis in the first carpometacarpal joint (CMC1) in a randomised controlled trial. Forty patients were included (20 in each group) and followed for...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章,随机对照试验
doi：10.1080/2000656X.2019.1635490
更新日期：2019-12-01 00:00:00
abstract：:Needle fasciotomy (NF) is a minimally invasive treatment option for Dupuytren contractures, but long-term results have indicated a high recurrence rate. This prospective study was initiated to monitor the introduction of NF in a context where limited fasciectomy had been the only treatment option, and to investigate t...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.1080/2000656X.2019.1693391
更新日期：2020-04-01 00:00:00
abstract：:Emergency replantation and revascularization operations of upper extremity injuries demand considerable resources, but their actual occurrence is unknown. This study evaluated all emergency replantations and revascularizations in the upper extremity in Finland from 1998 to 2016. A total of 2,434 operations were identi...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.1080/2000656X.2020.1771720
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:In this study, markers of coagulation and fibrinolysis were assessed during early and delayed microsurgical reconstruction in patients with traumatic defects of their lower legs to analyse whether an imbalance of the hemostasis after trauma might predispose the development of vascular complications. METHODS...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.1080/2000656X.2017.1303499
更新日期：2017-12-01 00:00:00
abstract：:It is difficult to determine if women with severe abdominal burn scar contractures can have uneventful pregnancies and births. There are few reports involving the relationship between severe abdominal scar contractures and pregnancy/childbirth. Furthermore, all of these reports are based on retrospective studies. The ...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2014.942314
更新日期：2015-02-01 00:00:00
abstract：:Crouzon syndrome presents with craniosynostosis, maxillary hypoplasia, exophtalmus, and sometimes hampered neuropsychological development. The aim of the present study was to evaluate the quality of life for adult patients with Crouzon syndrome. Forty patients with Crouzon syndrome born before 1990 could be identified...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2013.868811
更新日期：2014-08-01 00:00:00
abstract：BACKGROUND:The internal mammary artery (IMA) is one of the most popular recipients for microsurgical breast reconstruction. However, it is often separated into sleeve-like layers when it is handled. This study tried to explain this unique behaviour of the IMA through histologic observation. METHODS:Nine pairs of IMAs ...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2015.1021815
更新日期：2015-01-01 00:00:00
abstract：BACKGROUND:Journal ranking based on the impact factor (IF) can be distorted by self-citation. The aim of this study is to investigate the present status of self-citation in the plastic surgery journals and its effect on the journals' IFs. METHODS:IF, IF without self-citations (corrected IF), self-cited rate, and self-...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.1080/2000656X.2017.1319847
更新日期：2018-02-01 00:00:00
abstract：:Neoadjuvant treatment and surgical resection for sarcoma patients can often leave devastating wounds necessitating soft-tissue coverage in the form of free flaps. There is still debate as to the optimal flap for reconstruction of defects in irradiated fields. We aim to describe our experiences with free fasciocutaneou...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.1080/2000656X.2020.1791893
更新日期：2020-12-01 00:00:00
abstract：:We describe a 53-year-old woman who had a huge pleomorphic liposarcoma of the left breast. She had a left Halstead mastectomy, which left a huge defect in the chest wall. We did an immediate reconstruction of the chest wall with combined latissimuss dorsi musculocutaneous (for the upper half of the defect) and vertica...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2012.748309
更新日期：2013-04-01 00:00:00
abstract：:Abdominal wall hernias are often diagnosed on clinical examination or encountered intraoperatively during an abdominoplasty. The aim of this study is to evaluate the long-term results of the use of dermal automesh for the repair of incidental hernias during abdominoplasty operations, and to perform a comparative analy...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2014.976571
更新日期：2015-06-01 00:00:00
abstract：:Intra-wound continuous negative pressure irrigation treatment (IW-CONPIT) was administered to cases of mediastinitis as the therapy of choice, with satisfactory results being obtained in terms of improved survival rates and quick healing of wounds. Accordingly, these treatment results and efficacy were evaluated. Afte...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2013.765885
更新日期：2013-09-01 00:00:00
abstract：INTRODUCTION:In our study, we aimed to search and compare the effects of valsartan and enalapril on the pathological scar formation on the basis of histomorphological parameters. MATERIALS AND METHODS:Nine New Zealand albino male rabbits, which were divided into three groups, were included in the study. A previously d...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.1080/2000656X.2020.1814312
更新日期：2020-12-01 00:00:00
abstract：:We present a case of post-traumatic osteonecrosis of the lunate after fracture of the distal radius. Post-traumatic osteonecrosis of the carpal lunate after a fracture of the distal radius has, to our knowledge, not been reported previously. We treated the patient with vascularised bone graft from the distal radius, w...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2013.812763
更新日期：2014-12-01 00:00:00
abstract：:Split-thickness skin grafts are routine in the treatment of deep dermal burns and various other wounds. Healing of the donor site of the graft has an impact on the total recovery of the patient. We conducted a prospective clinical study at Tampere University Hospital to compare the effect of two adhesive wound dressin...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2011.583515
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVES:Ischaemic preconditioning and postconditioning, which consist of one or a series of short ischaemic events. This study aimed to determine the efficiency of post-conditioning a flap in the minimisation of flap loss after a preconditioned skin flap. METHODS:The rats were divided into five groups: sham group, ...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2016.1154468
更新日期：2016-08-01 00:00:00
abstract：:Immediate breast reconstruction (IBR) combined with post-mastectomy radiotherapy (PMRT) is associated with an increased risk for complications. Here, we analyse whether IBR combined with PMRT is ethically acceptable. We employ normative analysis following reflective equilibrium and the principles of Beauchamp and Chil...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.1080/2000656X.2019.1688165
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:Premature sagittal synostosis (SS) can be surgically corrected using extensive cranioplasties or using less invasive methods, e.g. spring-assisted surgery (SAS). AIM:The aim of the present study was to perform a proper systematic review of springs in the treatment of SS. METHODS:A literature search was per...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章,评审
doi：10.3109/2000656X.2014.981268
更新日期：2015-06-01 00:00:00
abstract：:We describe a left-handed man who had a giant periosteal chondroma of the proximal phalanx of the left third finger with compression of the digital neurovascular structures, and the flexor and extensor tendons. Cutaneous pressure thresholds of the digital nerves were tested, showing complete sensory recovery 24 months...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2012.729652
更新日期：2013-04-01 00:00:00
abstract：BACKGROUND:Despite current advances in microsurgery, fingertip replantation is still controversial, mainly due to its difficulty and cost. The purpose of this study is to describe a new technique of interposition vein graft guided by polypropylene suture in distal fingertip replantation. METHODS:A total of eight conse...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2015.1041968
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:While Realdo Colombo from Cremona, Italy has, to date, been acknowledged to be the first to describe the possible absence of the palmaris longus muscle in men in 1559, the authors found this absence to be recorded in the first edition of "De Humani Corporis Fabrica Libri Septum" by Andreas Vesalius, publishe...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 历史文章,杂志文章
doi：10.3109/2000656X.2015.1073156
更新日期：2016-01-01 00:00:00
abstract：:The purpose of this study was to investigate the correlation between the oculocardiac reflex (OCR) and blepharoptosis surgery for safe eyelid surgery. Fifty-four consecutive patients with bilateral aponeurotic blepharoptosis were enrolled in this study. Changes in electrocardiography (ECG) monitoring were recorded dur...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2013.836529
更新日期：2014-06-01 00:00:00
abstract：:Collagenase Clostridium histolyticum (CCH) is a non-surgical, efficacious therapy for Dupuytren's contracture (DC). This study evaluated the efficacy and safety of CCH in patients with previous DC surgery. Data from 12 CCH clinical trials were pooled. At screening, patients provided details about the type/date of prev...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章,meta分析
doi：10.3109/2000656X.2012.683795
更新日期：2012-09-01 00:00:00
abstract：:Many authors have advocated early surgical intervention to avoid muscle degeneration in patients with blowout fractures with evidence of extraocular muscle entrapment imaged under computed tomography. However, there is still no golden standard with regard to the target timing of operations for releasing extraocular mu...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2013.779581
更新日期：2013-12-01 00:00:00
abstract：:Massive weight loss might lead to excess skin folds causing functional, physical, and psychosocial discomfort. Following bariatric procedures, an increasing number of patients are seeking lower body contouring surgery (LBCS). The proportion of bariatric patients who undergo LBCS is largely unknown. The aim of this cur...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.1080/2000656X.2020.1800481
更新日期：2020-08-10 00:00:00
abstract：:The minimally-invasive nature of sclerotherapy makes it one of the first treatment options for venous malformations, although treatment-related complications, such as peripheral nerve paralysis, have been reported in some clinical cases. However, no studies of the aetiology of the detrimental effects of intraluminally...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2012.675881
更新日期：2012-09-01 00:00:00
abstract：:Interposition arthroplasty with bioreplaceable poly-L-D-lactic acid (PLDLA) implants has yielded promising results in reconstruction of rheumatoid hands. In this prospective clinical study we compared the PLDLA implant arthroplasty (n = 17) with that of tendon interposition (n = 12) for destruction of the trapeziometa...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章,随机对照试验
doi：10.3109/2000656X.2012.669202
更新日期：2012-04-01 00:00:00
abstract：BACKGROUND:The natural course and predictors for decreased cold hypersensitivity were studied in 85 patients with severe hand injuries involving nerve lesions. METHODS:Questionnaires including the McCabe Cold Sensitivity Severity scale (CSS 0-400) were collected after injury, and at 6-month, 12-month, 2-year, and 3-ye...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2015.1089877
更新日期：2016-01-01 00:00:00
abstract：:Previous studies assessing the costs associated with two stage expander/implant (E/I) reconstruction rarely include the cost of complications. The purpose of this study is to analyze the complication costs associated with a single institution experience with immediate E/I reconstruction. All immediate two stage E/I re...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2014.970639
更新日期：2015-06-01 00:00:00
abstract：:Fixation of the elevated eyebrow is an important final step in endoscopic forehead lifting. One of the most common methods of fixation includes temporal fasciae sutures for the tail of the eyebrow, and mini-screws for the body of the eyebrow. The concentric cables fixation is an alternative method for elevation of bot...
journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
doi：10.3109/2000656X.2014.964724
更新日期：2015-06-01 00:00:00
