Diastasis is the separation of the rectus abdominal muscles, common after pregnancy or weight changes. When it causes discomfort or wall weakness, it can be repaired through a minimally invasive approach, with small incisions and a more comfortable recovery.
Before surgery
Pre-operative assessmentWe will assess whether there is an associated hernia and whether abdominal and pelvic floor physiotherapy would help before surgery.
FastingNo solids for 6 hours before; clear fluids up to 2 hours before.
Smoking and weightStopping smoking and keeping a stable weight improve the result and reduce the risk of the repair failing.
MedicationTell us if you take blood thinners or antiplatelets. You will receive specific instructions.
CompanionYou will need someone to take you home and cannot drive that day.
The day of surgery
AnaesthesiaGeneral anaesthesia.
TechniqueThe separated muscles are brought together and the wall is reinforced, usually with a mesh, through an endoscopic or robotic approach with small incisions.
DurationUsually between 1 and 2 hours.
After surgery
TightnessYou will feel tension in the abdominal wall for the first few weeks: this is expected and eases gradually.
Abdominal binderIf a binder is recommended, use it as instructed: it adds comfort and supports the repair.
Getting movingWalk from day one, without straining your abdomen. Get out of bed by rolling onto your side.
ExertionNo lifting or abdominal exercise for 4–6 weeks.
PhysiotherapyAfter the initial period, abdominal and pelvic floor physiotherapy helps consolidate the result. We will tell you when to start.
⚠ When to seek help immediately
Go to the emergency department or contact your team if you have:
Fever of 38 °C (100.4 °F) or higher
Pain that does not improve with your prescribed medication
Persistent vomiting or inability to keep fluids down
A wound that is red, warm, oozing or opening up
Difficulty breathing or chest pain
No gas or bowel movements together with abdominal bloating
