A Case of Laparoscopic Treatment for Umbilical Hernia and Rectus Abdominis Diastasis

Abstract

Rectus abdominis diastasis (RAD) is considered to be a high risk factor for recurrence after umbilical hernia repair, and mesh repair is recommended. We report a case of incarcerated umbilical hernia with RAD that was treated by laparoscopic surgery. A 36–year–old woman with a history of two vaginal deliveries visited our hospital complaining of abdominal pain and protrusion of the umbilicus. She had noticed the umbilical protrusion ever since her second baby had been born, and had repeatedly repatriated. Abdominal CT showed an umbilical hernia and RAD, and we performed laparoscopic repair for treatment. Until now, about 3 years since the surgery, no recurrence has been observed. RAD is a little–known condition in Japan. When we plan umbilical hernia repair, it is necessary to confirm the presence of RAD and manage it, to reduce the risk of recurrence.