Most separation of rectus abdominis does not require surgery, and most separation can be improved by exercise. But there is still a small part, which may be found late, may be ineffective after exercise, or may have symptoms such as low back pain and pelvic floor dysfunction, or may have umbilical hernia and white hernia on the basis of separation, which really needs surgery.

So what should I do if I really need surgery? Is the effect good? Will it leave a big scar? Can it be solved by minimally invasive surgery? Is it possible to return to the prenatal state after the operation? Hot mom always asks a series of questions.

First of all, I want to tell you that the focus of the operation is to solve the separation and make the separated rectus abdominis closer.

There are two options for surgery, one is open surgery and the other is laparoscopic surgery, which is what we call minimally invasive surgery. The focus of the two operations is separation, and both need to fold and sew the thinned and widened midline. The main difference between them is the different methods. The earliest open surgery did, as many hot moms imagined, make a longitudinal incision in the middle of the stomach from top to bottom and then sew it up. A 20-30 cm long incision and scar really made many women feel desperate. Fortunately, at present, whether it is open or mirrored, it can be different.

Laparoscopic surgery is definitely less traumatic, with a few small holes punched from the abdominal wall and no major wounds. The whole operation was completed under laparoscopy, and the postoperative recovery was quick. The current open surgery is not to make a longitudinal incision, but to make a transverse arc incision in the lower abdomen. One advantage of this is that it can reshape the skin of abdominal wall and remove excess slack skin while solving the separation. However, the incision is large, and the subcutaneous tissue of the entire abdominal wall needs to be turned up to repair the entire midline, so the wound surface and trauma are still quite large; The characteristics of laparoscopic surgery are just the opposite of open surgery. Because only punching holes will not remove excess skin, the appearance of local skin has not improved in a short time after operation.

So many hot moms are hesitant after knowing this. Open or mirror? But my personal opinion is more inclined to laparoscopic minimally invasive surgery. The reasons are as follows: first, the muscle relaxation of some patients with rectus abdominis separation is not serious, and it is not necessary to open the wound for abdominal plastic surgery. Secondly, laparoscopy can solve the core problem of separation with little trauma, because the recovery of anatomy and function is the most important, followed by appearance; And the skin itself will improve after six months to a year. If you are not satisfied, you can do further precise plastic surgery, and the appearance effect is better. Thirdly, due to the large free operation area, there are relatively many wound problems under the condition of simultaneous separation and repair. Once wound complications occur, the appearance cannot be guaranteed.

Laparoscopic surgery recovers quickly, usually four or five days after operation, and you can leave the hospital after eating and getting out of bed. However, due to the reduction of rectus abdominis, the scope of operation is quite large from top to bottom, and there are still about 3 months after operation that need special attention. This is because the healing of abdominal wall repair takes time, so it is necessary to suspend abdominal muscle exercise at this stage to avoid lifting heavy objects, coughing violently, sneezing, holding stool and other factors, and use abdominal straps for protection after getting up. It is ok to do some low-intensity moderate aerobic exercise such as brisk walking or jogging or slow swimming for more than one month after operation.

Finally, let's take a closer look. Only those mothers who are seriously separated and can't recover to the width within two fingers through exercise, and are accompanied by symptoms of pelvic floor and umbilical hernia, need surgery. Most hot moms can improve their separation through correct exercise, so that they don't need surgery. Surgery includes two ways: open surgery and laparoscopic surgery. Most patients can be operated by laparoscopy in a minimally invasive way, especially those who are not too fat and have little excess skin and fat on the abdominal wall. They can recover to a posture close to prenatal through exercise and weight loss, and recover quickly after operation. A small part of the abdominal wall with excessive skin fat can be separated by open surgery to improve the appearance of the abdominal wall. Of course, it's more traumatic.