{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T19:47:04Z","timestamp":1779911224913,"version":"3.53.1"},"reference-count":22,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,4,17]],"date-time":"2020-04-17T00:00:00Z","timestamp":1587081600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Abdominal rectus diastasis can lead to functional disability. There is no consensus regarding treatment. This was a prospective study on patients randomized to surgery using either Quill self-retaining sutures or retromuscular mesh for abdominal rectus diastasis repair. The primary aim of the study was to compare long-term recurrence after surgery. Secondary aims were abdominal muscle strength, pain, and quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 57 patients were eligible and 52 were investigated. A routine 1-year follow-up ruled out any patient with recurrence and this was followed up by clinical examination for recurrence and assessment of the secondary outcomes a median of 5\u2009years (3.8\u20136.5\u2009years) after surgery. Quality of life was assessed using the Short Form-36 questionnaire. Pain related to activity was evaluated using the Ventral Hernia Pain Questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>No recurrence of abdominal rectus diastasis was found. Significant improvements were seen between index surgery and long-term follow-up in all domains of Short Form-36. There were no significant differences in quality of life or self-reported muscle strength between the two surgical groups. Long-term pain remained unchanged compared to that at the 1-year follow-up. \u201cPain this week\u201d had decreased significantly at long-term follow-up compared to prior to surgery (mesh p\u2009=\u20090.009, Quill p\u2009=\u20090.003).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>No recurrence of abdominal rectus diastasis appeared. There was no difference in quality of life or long-term pain between the two surgical groups. Implantation of retromuscular mesh entails more extensive surgery implying potentially higher risk for complications. This leads us to recommend reconstruction with double-row self-retaining sutures for the repair of abdominal rectus diastasis in patients with functional disability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1457496920913677","type":"journal-article","created":{"date-parts":[[2020,4,17]],"date-time":"2020-04-17T03:39:38Z","timestamp":1587094778000},"page":"283-289","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Long-term follow-up after surgical repair of abdominal rectus diastasis: A Prospective Randomized Study"],"prefix":"10.1177","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9189-9725","authenticated-orcid":false,"given":"Ebba","family":"Swedenhammar","sequence":"first","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, Solna (L1:00), Stockholm, SE-171 76, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Strig\u00e5rd","sequence":"additional","affiliation":[{"name":"Division of Surgery, Department of Surgical and Perioperative Sciences, Ume\u00e5 University, Karolinska University Hospital, Ume\u00e5, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Emanuelsson","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf","family":"Gunnarsson","sequence":"additional","affiliation":[{"name":"Division of Surgery, Department of Surgical and Perioperative Sciences, Ume\u00e5 University, Karolinska University Hospital, Ume\u00e5, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgit","family":"stark","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,4,17]]},"reference":[{"key":"bibr1-1457496920913677","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181882493"},{"key":"bibr2-1457496920913677","doi-asserted-by":"publisher","DOI":"10.1007\/BF01627606"},{"key":"bibr3-1457496920913677","first-page":"32","volume":"51","author":"Lo T","year":"1999","journal-title":"Physiother Can"},{"key":"bibr4-1457496920913677","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2018.02.004"},{"key":"bibr5-1457496920913677","doi-asserted-by":"publisher","DOI":"10.3233\/BMR-169687"},{"key":"bibr6-1457496920913677","doi-asserted-by":"publisher","DOI":"10.1097\/01274882-200933020-00003"},{"key":"bibr7-1457496920913677","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5607-9"},{"key":"bibr8-1457496920913677","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-011-0839-4"},{"key":"bibr9-1457496920913677","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.04.015"},{"key":"bibr10-1457496920913677","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2016.05.035"},{"key":"bibr11-1457496920913677","unstructured":"Quill\u2122 Self-Retaining System (SRS) Comprised of Dyed PD0 (Polydioxanone) Synthetic Absorbable Surgical Suture Material Instructions for Use. 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