Diastasis man
Introduction
Abdominal rectus abdominis diastasis also occurs with a certain frequency in the male especially in subjects excessively subjected to physical and sports loads or following sudden fluctuations in body weight.
rectus abdominis diastasis in the sportsman
The abdominal wall of sportsmen is subjected to considerable dynamic stress, particularly in those disciplines with high physical load such as weightlifting or similar.
The tendinous component that joins the two rectus abdominis muscles can undergo progressive and irreversible exhaustion leading the individual to develop rectus abdominis diastasis with its associated signs and symptoms. Multiple midline hernias are often associated and clearly visible given the thin panniculus adiposus of these individuals.
Rarely do these types of patients have superficial defects such as stretch marks or excess skin that needs to be removed.
Considering the lifestyle, it is essential to choose the most resistant and stable intervention in time to re-establish a correct anatomy and functionality.
Male diastasis related to collagen fragility and body weight changes
In a certain proportion of biologically predisposed male subjects due to collagen fragility , the excessive changes in abdominal volume and body weight can be assimilated pathophysiologically to what happens in pregnancy.
The linea alba defibrates, the rectus muscles separate from each other and the signs and symptoms of diastasis appear. It happens that some patients notice this structural failure only after significant weight loss, since the abdominal volume is reduced but the abdominal wall remains loose, a bit like what happens after childbirth.
If the patient has an adequate body weight, reconstruction may be considered. If the patient is overweight or obese, weight loss and maintenance and stabilization of an adequate body weight is imperative before surgical reconstruction can be considered.
