Medical content by Elias Tsiolis, Director Surgeon · Last updated: 11 May 2026
Diastasis Recti
Diastasis recti is the stretching and separation of the rectus abdominis muscles along the midline of the abdomen. It is not a “hernia” in the strict sense, but it causes a cosmetic problem, a “bulging” abdomen and sometimes difficulty stabilizing the core, lower back pain and difficulty exercising.
Everything You Need to Know About Diastasis Recti
The main contributing factors are:
- Pregnancy
- Obesity
Treatment
Conservative Treatment
- Physiotherapy of the abdominal wall
Surgical Treatment
Repair and reinforcement with mesh, either open, laparoscopic or with robot-assisted techniques
Repair
- Repair gives a flat abdomen, strengthens the muscles and prevents progression to a true hernia, or treats any hernia that is already present.
An incisional hernia appears at the site of an old surgical scar, where the abdominal wall has not healed properly. It can develop months or even years after the original operation.
Everything You Need to Know About Incisional Hernia
Causes and Risk Factors
- Wound infection
- Multiple repeat operations
- Wound breakdown after surgery
- Obesity
- Smoking
- Coughing / increased abdominal pressure
Symptoms
The most common symptoms of an incisional hernia include:
- Swelling or bulging at the site of the scar
- Pain, especially when lifting
- In severe cases, trapped bowel
Treatment
Mesh Repair
Mesh repair is today the method of choice, whether open, laparoscopic or robot-assisted. Repair with mesh, regardless of the approach, offers:
- A stronger abdominal wall
- Full return to physical activities, even heavy ones
- Less pain
- Lower risk of recurrence
After the operation, the patient usually goes home the same day.
Frequently Asked Questions
When should I have surgery?
When the hernia causes discomfort, grows in size or there is a risk of strangulation.
Is there a drug treatment?
No. Only surgical repair offers a definitive solution.
Can I drive afterwards?
Usually after 2–5 days, depending on the type of operation.
When can I return to work?
It depends on the size of the hernia, the type of work and the surgical technique. In most cases, within 3–6 weeks after the operation.