Pregnancies after diastasis surgery
Can I have further pregnancies after surgery for diastasis recti?
In general it is good to undergo a & nbsp; surgery & nbsp; for & nbsp; diastasis & nbsp; abdominal & nbsp; when no further pregnancy is desired.
After all diastasis repair techniques there is a contraindication relating to a subsequent pregnancy
A pregnancy generally involves a considerable increase in abdominal volume.
The volume increase is subject to unpredictable & nbsp; and uncontrollable factors related to the amount of amniotic fluid and the size of the fetus.
The & nbsp; abdominal wall in turn is progressively traction by the inevitable & nbsp; volumetric endoabdominal expansion
It is therefore difficult to exclude a priori the occurrence of a recurrence even in the case of the most resistant reconstructive techniques.
In general besides the possible risk of recurrence common to all techniques , in the techniques pre-peritoneal R-Tapp & nbsp; there are no & nbsp; particular & nbsp; additional risks & nbsp; because no contact occurs between the viscera and the reconstruction. & nbsp; The uterus is therefore free to grow without internal conflicts.
In our case series we have documented a case of unscheduled pregnancy three years after the reconstruction in robotic R-Tapp surgery.
The pregnancy was carried to term normally with natural birth without causing relapses or other special events.
We see documented below a case of pregnancy following the R-Tapp robotic technique (Dr. Darecchio) .
In intraperitioneal techniques (laparoscopy and minilaparoscpia) additional warnings are required & nbsp;
In laparoscopic and minilaparoscopic techniques due to the network intraperitoneal & nbsp; (ie positioned inside the abdominal cavity) additional warnings are required & nbsp;
In addition to the possible relapse, in the case of laparoscopy, potential risks related to the presence of intraperitoneal networks and related fixation means cannot be excluded.
Such intraperitoneal prosthetic bodies & nbsp; can lead to the formation of visceral adhesions which can sometimes give rise to a real adhesion syndrome . Obviously, this occurrence should not occur during pregnancy also considering that uterine growth could further complicate the situation.
The uterus grows in direct contact with the intreperitoneal network.
There is also the possibility that the mesh does not follow the natural expansion of the abdominal wall by dislocating and / or causing pain in the last few months.
For this reason the same manufacturers of intraperitoneal nets for laparoscopy or minilaparoscopy among the safety warnings are recommended to inform the patient of the possible behavior of the device in case of pregnancy.