English: What Is Diastasis Recti and How Is It Treated Surgically?
What is diastasis recti?
Diastasis recti is a condition in which the rectus abdominis muscles (the “six-pack” muscles) separate along the midline of the abdomen. This happens because the connective tissue called the linea alba becomes stretched or weakened, allowing the muscles to pull apart and the abdominal wall to lose its firmness.
It's not a classic hernia, but if left untreated, it can lead to a worsened body shape, back pain, poor posture, and in some cases, an actual abdominal hernia.
Who is affected?
Most commonly seen in:
- Women after childbirth – especially after multiple pregnancies or larger babies
- Individuals with significant weight fluctuations
- Athletes (e.g., bodybuilders) who overstrain their abdominal muscles
- People with a genetic predisposition to weak connective tissue
- Among postpartum women, diastasis recti is very common – affecting up to 60–70% of mothers at some point. It may persist long after childbirth without resolving on its own.
How does diastasis recti affect the body?
- A bulging or “bloated” belly despite a slim figure
- A feeling of a weakened core
- Back pain, strain on the spine
- Difficulty with certain exercises or movements
In advanced cases, hernias may develop (e.g., umbilical hernia)
How is diastasis recti treated surgically?
The surgery involves stitching the separated abdominal muscles back together.
This restores their original function and strengthens the core.
In some cases, the procedure is combined with abdominoplasty (tummy tuck), particularly if there is excess skin or fat.
Procedure overview:
Performed under general anesthesia
Takes approximately 1.5 to 2.5 hours, depending on the extent
The incision is made in the lower abdomen (like in a tummy tuck) and heals discreetly
The muscles are tightly stitched in multiple layers
If necessary, excess skin, fat, or an umbilical hernia is also removed
Recovery:
Hospital stay: 1–2 days
Wearing compression garments: 4–6 weeks
Physical activity restrictions: 4–8 weeks
Return to normal daily activities: after 2–3 weeks
Result: long-lasting abdominal tightening, improved posture, and appearance
Good to know:
The surgery is not only cosmetic but also functional – it enhances core stability
Suitable only after pregnancy and once weight has stabilized
A consultation is required beforehand, and in some cases an abdominal wall ultrasound
Also appropriate for women planning a Mommy Makeover