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Impact of minimal incision repair of Rectus Abdominis Diastasis (MIRRAD) on quality of life and stress incontinence: a prospective study

Year: 2025

Type: article

Abstract: Introduction Rectus Abdominis Diastasis (RAD) is a common condition where separation of the rectus abdominis muscles results in a widening of the linea alba. This separation is often due to increased intra-abdominal pressure most notably during pregnancy. This study evaluates the impact of the minimal incision repair of rectus abdominis diastasis (MIRRAD) procedure on physical activity, muscle strength, quality of life, and overall satisfaction in women with postpartum rectus abdominis diastasis (PP-RAD). Method A cohort of 31 female patients, aged 20-50 years, diagnosed with PP-RAD unresponsive to conservative treatment, underwent the MIRRAD procedure. Assessments were conducted preoperatively and one year postoperatively, these included the Modified Abdominal Trunk Function Protocol (MATFP), Disability Rating Index (DRI), and Urinary Disability Index (UDI) questionnaires. Physical activity intensity was monitored using accelerometers. Result Significant improvements were observed in vigorous physical activities (Z = -2.352, p = .019), vector magnitude counts per minute (Z = -2.163, p = .031), and steps per minute (Z = -3.131, p = .002). DRI showed significant improvements in physical tasks like dressing, walking, and strenuous work (Z ranging from -2.705 to -4.603, p < .001). UDI indicated significant improvements in urinary symptoms, including reduced frequency (Z = -2.984, p = .003) and less urinary leakage (Z = -2.357, p = .018). MATFP demonstrated gains in back and abdominal muscle strength (Z = -4.321, p < .001) and trunk stability (Z = -3.991, p < .001). Discussion The MIRRAD procedure significantly improves physical strength, trunk stability, and urinary function, enhancing daily activities and overall physical health in women with PP-RAD. Further research is recommended to evaluate long-term outcomes.

Source: British journal of surgery

DOI: 10.1093/bjs/znaf149.112

Authors: Asmatullah Katawazai, Göran Wallin, Gabriel Sandblom

Institutions: Örebro University, Örebro University Hospital, Karolinska Institutet, Stockholm South General Hospital

Language: English

Topic: Pelvic floor disorders treatments

Subfield: Rheumatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W4413185993