{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T04:59:53Z","timestamp":1770181193465,"version":"3.49.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003509","name":"\u00d6rebro University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003509","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Postpartum rectus abdominis diastasis (PP-RAD) is a condition that may cause abdominal wall insufficiency, affecting daily life. When conservative treatments are unsuccessful, surgical intervention may be necessary. This study aimed to assess the safety and effectiveness of minimal incision repair of rectus abdominis diastasis (MIRRAD) as day-case surgery in women with PP-RAD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included 33 female patients aged 20\u201350\u00a0years with PP-RAD and an inter-rectus distance (IRD) of\u2009\u2265\u20093\u00a0cm. All patients had previously undergone conservative treatment without satisfactory outcomes. Each patient received the MIRRAD procedure as day-case surgery apart from one who stayed overnight due to nausea. Follow-up evaluations were conducted at 4\u00a0h, 1\u00a0week, 1\u00a0month, and 1\u00a0year after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The average inter-rectus distance (IRD) was 4.4\u00a0cm, with a mean diastasis length of 15\u00a0cm. Of the 33 patients included, 2 did not attend the 1\u00a0year follow-up leaving 31 for final analysis. Of these, 30 had one or more concomitant hernias. The mean operation time was 67\u00a0min. At the 1\u00a0year follow-up, 87% of patients were satisfied with the results, and 90% said they would undergo the procedure again if necessary. No surgical site infection was reported, and recovery was generally smooth. Thirty of the 31 patients were discharged within 4 to 6\u00a0h after surgery, while one patient stayed overnight.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MIRRAD appears to be a safe and effective surgical option for PP-RAD, particularly in cases without significant excess skin. Further studies with larger populations and longer follow-up are needed to confirm these findings and establish standard patient selection criteria.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10029-025-03306-x","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T03:33:17Z","timestamp":1744687997000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Minimal Incision Repair of Rectus Abdominis  Diastasis (MIRRAD) as day-case surgery: A prospective study"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3603-5606","authenticated-orcid":false,"given":"Asmatullah","family":"Katawazai","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00f6ran","family":"Wallin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Sandblom","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,15]]},"reference":[{"issue":"10","key":"3306_CR1","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.1093\/bjs\/znab128","volume":"108","author":"P Hern\u00e1ndez-Granados","year":"2021","unstructured":"Hern\u00e1ndez-Granados P et al (2021) European Hernia society guidelines on management of rectus diastasis. Br J Surg 108(10):1189\u20131191","journal-title":"Br J Surg"},{"issue":"3\u20134","key":"3306_CR2","doi-asserted-by":"publisher","first-page":"518","DOI":"10.1111\/jocn.15568","volume":"30","author":"L Wu","year":"2021","unstructured":"Wu L et al (2021) Diastasis recti abdominis in adult women based on abdominal computed tomography imaging: prevalence, risk factors and its impact on life. J Clin Nurs 30(3\u20134):518\u2013527","journal-title":"J Clin Nurs"},{"issue":"2","key":"3306_CR3","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1007\/s10029-021-02493-7","volume":"26","author":"RL Kaufmann","year":"2022","unstructured":"Kaufmann RL et al (2022) Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study. Hernia 26(2):609\u2013618","journal-title":"Hernia"},{"issue":"10","key":"3306_CR4","doi-asserted-by":"publisher","first-page":"891","DOI":"10.1093\/ptj\/pzy083","volume":"98","author":"NF Hills","year":"2018","unstructured":"Hills NF, Graham RB, McLean L (2018) Comparison of trunk muscle function between women with and without diastasis recti abdominis at 1 year postpartum. Phys Ther 98(10):891\u2013901","journal-title":"Phys Ther"},{"issue":"1","key":"3306_CR5","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1016\/j.physio.2018.07.002","volume":"105","author":"DR Benjamin","year":"2019","unstructured":"Benjamin DR et al (2019) Relationship between diastasis of the rectus abdominis muscle (DRAM) and musculoskeletal dysfunctions, pain and quality of life: a systematic review. 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Funding was provided by the Swedish government (Avtal om L\u00e4karutbildning och Forskning (ALF) agreement). The funder was not involved in study design, data collection, data analysis, manuscript preparation, publication, or any other decision.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interests"}},{"value":"The study was approved [Dnr. 2021\u201304599] by the Swedish Board of Ethics [Etikpr\u00f6vningsmyndigheten].","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}],"article-number":"145"}}