{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:11:55Z","timestamp":1792782715703,"version":"4.5.0"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"18","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Athens","id":[{"id":"https:\/\/ror.org\/04gnjpq42","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aesth Plast Surg"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Diastasis recti and midline abdominal wall hernias are frequently encountered in patients undergoing abdominoplasty, particularly postpartum women and individuals following significant weight loss. The associated musculoaponeurotic laxity results in functional abdominal wall weakness and contour deformities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We describe a surgical technique combining abdominoplasty with midline fascial repair, performed without mesh reinforcement. The procedure utilizes a modified overlapping Mayo double-suturing method to restore midline strength and contour. This paper presents a 39-year single-surgeon experience, including long-term clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 120 patients underwent the procedure between 1986 and 2021. All were discharged within 72 hours postoperatively and followed up regularly (range: 1\u201339 years). There were no recurrences of diastasis of rectus abdominis muscles (DRAM) or hernia and no cases of vascular compromise. Seromas occurred in 20% of cases and were successfully managed conservatively with drainage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This combined approach allows for durable anatomical and aesthetic correction of abdominal wall defects without prosthetic materials. The long-term outcomes presented support the safety, effectiveness, and reproducibility of the technique in appropriately selected patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence IV<\/jats:title>\n                    <jats:p>\n                      This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.springer.com\/00266\" ext-link-type=\"uri\">www.springer.com\/00266<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00266-026-06000-0","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:50:23Z","timestamp":1782863423000},"page":"7681-7687","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Concomitant Abdominoplasty and Repair of Midline Abdominal Wall Defects"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4640-2983","authenticated-orcid":false,"given":"Sandra Maria","family":"Tsoti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioanna","family":"Vasilaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Foustanos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"issue":"12","key":"6000_CR1","doi-asserted-by":"publisher","first-page":"4934","DOI":"10.1007\/s00464-017-5607-9","volume":"31","author":"E Mommers","year":"2017","unstructured":"Mommers E, Ponten J, Al Omar A, de Vries RT, Bouvy N, Nienhuijs S. The general surgeon\u2019s perspective of rectus diastasis A systematic review of treatment options. Surg Endosc. 2017;31(12):4934\u201349. https:\/\/doi.org\/10.1007\/s00464-017-5607-9.","journal-title":"Surg Endosc"},{"issue":"4","key":"6000_CR2","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1007\/s10029-021-02460-2","volume":"25","author":"H ElHawary","year":"2021","unstructured":"ElHawary H, Barone N, Zammit D, Janis J. Closing the gap: evidence-based surgical treatment of rectus diastasis associated with abdominal wall hernias. Hernia. 2021;25(4):827\u201353. https:\/\/doi.org\/10.1007\/s10029-021-02460-2.","journal-title":"Hernia"},{"issue":"7","key":"6000_CR3","doi-asserted-by":"publisher","first-page":"NP840","DOI":"10.1093\/asj\/sjab168","volume":"41","author":"A Lari","year":"2021","unstructured":"Lari A. Techniques of concomitant abdominoplasty and umbilical hernia repair: a review. Aesthet Surg J. 2021;41(7):NP840\u20131. https:\/\/doi.org\/10.1093\/asj\/sjab168.","journal-title":"Aesthet Surg J"},{"issue":"4","key":"6000_CR4","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1007\/s10029-005-0010-1","volume":"9","author":"J Halm","year":"2005","unstructured":"Halm J, Heisterkamp J, Veen H, Weidema W. Long-term follow-up after umbilical hernia repair: are there risk factors for recurrence after simple and mesh repair. Hernia. 2005;9(4):334\u20137. https:\/\/doi.org\/10.1007\/s10029-005-0010-1.","journal-title":"Hernia"},{"issue":"4","key":"6000_CR5","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1007\/s10029-009-0518-x","volume":"13","author":"F Muysoms","year":"2009","unstructured":"Muysoms F, Miserez M, Berrevoet F, et al. Classification of primary and incisional abdominal wall hernias. 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Int J Anatomy Radiol Surg. 2022;5(3):SO7\u201310. https:\/\/doi.org\/10.7860\/IJARS\/2016\/20687.2179.","journal-title":"Int J Anatomy Radiol Surg."},{"issue":"11","key":"6000_CR8","doi-asserted-by":"publisher","first-page":"5055","DOI":"10.1007\/s00261-021-03211-8","volume":"46","author":"F Aluja-Jaramillo","year":"2021","unstructured":"Aluja-Jaramillo F, Cifuentes-Sandoval S, Guti\u00e9rrez F, Bhalla S, Menias C. Pre- and postsurgical imaging findings of abdominal wall hernias based on the European Hernia Society (EHS) classification. Abdominal Radiol. 2021;46(11):5055\u201371. https:\/\/doi.org\/10.1007\/s00261-021-03211-8.","journal-title":"Abdominal Radiol."},{"issue":"2","key":"6000_CR9","doi-asserted-by":"publisher","first-page":"523","DOI":"10.1097\/ta.0b013e3182ab0743","volume":"76","author":"L Li","year":"2014","unstructured":"Li L, Jafrani R, Becker N, et al. Outcomes of acute versus elective primary ventral hernia repair. 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Ethical approval was obtained from the scientific board of Iaso Hospital, Athens, prior to data collection and review.","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Ethics"}},{"value":"Written informed consent was obtained from all patients for surgery, photography, and inclusion of anonymized data in this publication. All patients were routinely consented preoperatively for possible concomitant repair of diastasis recti and any incidental midline hernia identified intraoperatively.","order":3,"name":"Ethics","label":"Informed Consent","group":{"name":"EthicsHeading","label":"Ethics"}}]}}