Rev Med UAS
Vol. 13: No. 1. Enero-Marzo 2023
ISSN 2007-8013

Diástasis de músculos rectos abdominales. Revisión bibliográfica

Diastasis of rectus abdominis muscles. Literature review

Martín Adrián Bolívar-Rodríguez1, Carina Lizbeth Gaxiola-López1*, Simón Daniel Servín-Uribe2, Marcel Antonio Cázarez-Aguilar1, Fred Morgan-Ortiz3.

  1. Servicio de Cirugía General del Centro de Investigación y Docencia en Ciencias de la Salud de la Universidad Autónoma de Sinaloa en el Hospital Civil de Culiacán, Culiacán, Sinaloa, México.
  2. Servicio de Cirugía Plástica y Reconstructiva del Centro de Investigación y Docencia en Ciencias de la Salud de la Universidad Autónoma de Sinaloa en el Hospital Civil de Culiacán, Culiacán, Sinaloa, México.
  3. Servicio de Ginecología y Obstetricia del Centro de Investigación y Docencia en Ciencias de la Salud de la Universidad Autónoma de Sinaloa en el Hospital Civil de Culiacán, Culiacán, Sinaloa, México.

* Correspondencia: Dr. Carina Lizbeth Gaxiola-López
Domicilio: Calle Eustaquio Buelna No. 91 Colonia Gabriel Leyva C.P. 80030 Culiacán, Sinaloa
Tel. 667-713-2606 Correo:


Texto Completo PDF

Recibido 20 de febrero 2023, aceptado 07 de marzo 2023


  1. Akram J, Matzen SH. Rectus abdominis diastasis. J Plast Surg Hand Surg. 2014;48(3):163-9.
  2. Rosen A, Hartman T. Repair of the midline fascial defect in abdominoplasty with long-acting barbed and smooth absorbable sutures. Aesthet Surg J. 2011;31(6):668-73.
  3. Digilio MC, Capolino R, Dallapiccola B. Autosomal dominant transmission of nonsyndromic diastasis recti and weakness of the linea alba. Am J Med Genet A. 2008;146A(2):254-6.
  4. Brauman D. Diastasis recti: clinical anatomy. Plast Reconstr Surg. 2008;122(5):1564-9.
  5. Beer GM, Schuster A, Seifert B, Manestar M, Mihic-Probst D, Weber SA. The normal width of the linea alba in nulliparous women. Clin Anat. 2009;22(6):706-11.
  6. Keshwani N, Mathur S, McLean L. Relationship Between Interrectus Distance and Symptom Severity in Women With Diastasis Recti Abdominis in the Early Postpartum Period. Phys Ther. 2018;98(3):182-90.
  7. Axer H, Keyserlingk DG, Prescher A. Collagen fibers in linea alba and rectus sheaths. I. General scheme and morphological aspects. J Surg Res. 2001;96(1):127-34.
  8. Mota P, Pascoal AG, Carita AI, Bø K. Normal width of the inter-recti distance in pregnant and postpartum primiparous women. Musculoskelet Sci Pract. 2018;35:34-7
  9. Rath AM, Attali P, Dumas JL, Goldlust D, Zhang J, Chevrel JP. The abdominal linea alba: an anatomo-radiologic and biomechanical study. Surg Radiol Anat. 1996;18(4):281-8.
  10. Tung RC, Towfigh S. Diagnostic techniques for diastasis recti. Hernia. 2021;25(4):915-9
  11. Ranney B. Diastasis recti and umbilical hernia causes, recognition and repair. S D J Med. 1990;43(10):5-8.
  12. Nahas FX. An aesthetic classification of the abdomen based on the myoaponeurotic layer. Plast Reconstr Surg. 2001;108(6):1787-95.
  13. Reinpold W, Köckerling F, Bittner R, Conze J, Fortelny R, Koch A,et al. Classification of Rectus Diastasis-A Proposal by the German Hernia Society (DHG) and the International Endohernia Society (IEHS). Front Surg. 2019;6:1.
  14. Hernández-Granados P, Henriksen NA, Berrevoet F, Cuccurullo D, López-Cano M, Nienhuijs S, et al. European Hernia Society guidelines on management of rectus diastasis. Br J Surg. 2021;108(10):1189-91.
  15. Nahas FX, Ferreira LM. Concepts on correction of the musculoaponeurotic layer in abdominoplasty. Clin Plast Surg. 2010;37(3):527-38.
  16. Veríssimo P, Nahas FX, Barbosa MV, de Carvalho Gomes HF, Ferreira LM. Is it possible to repair diastasis recti and shorten the aponeurosis at the same time? Aesthetic Plast Surg. 2014;38(2):379-86.
  17. McPhail I. Abdominal aortic aneurysm and diastasis recti. Angiol. 2008;59(6):736-9.
  18. Lockwood T. Rectus muscle diastasis in males: primary indication for endoscopically assisted abdominoplasty. Plast Reconstr Surg. 1998;101(6):1685-91.
  19. Sperstad JB, Tennfjord MK, Hilde G, Ellström-Engh M, Bø K. Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain. Br J Sports Med. 2016;50(17):1092-6.
  20. Hsia M, Jones S. Natural resolution of rectus abdominis diastasis. Two single case studies. Aust J Physiother. 2000;46(4):301-7
  21. Fernandes da Mota PG, Pascoal AG, Carita AI, Bø K. Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain. Man Ther. 2015;20(1):200-5.
  22. Beamish N, Green N, Nieuwold E, McLean L. Differences in Linea Alba Stiffness and Linea Alba Distortion Between Women With and Without Diastasis Recti Abdominis: The Impact of Measurement Site and Task. J Orthop Sports Phys Ther. 2019;49(9):656-665.
  23. Spitznagle TM, Leong FC, Van Dillen LR. Prevalence of diastasis recti abdominis in a urogynecological patient population. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(3):321-8.
  24. Boissonnault JS, Blaschak MJ. Incidence of diastasis recti abdominis during the childbearing year. Phys Ther. 1988;68(7):1082-6.
  25. Theodorsen NM, Strand LI, Bø K. Effect of pelvic floor and transversus abdominis muscle contraction on inter-rectus distance in postpartum women: a cross-sectional experimental study. Physiotherapy. 2019;105(3):315-20.
  26. Benjamin DR, van de Water AT, Peiris CL. Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review. Physiotherapy. 2014;100(1):1-8.
  27. Moesbergen T, Law A, Roake J, Lewis DR. Diastasis recti and abdominal aortic aneurysm. Vascular. 2009;17(6):325-9.
  28. Benjamin DR, Frawley HC, Shields N, van de Water ATM, Taylor NF. Relationship between diastasis of the rectus abdominis muscle (DRAM) and musculoskeletal dysfunctions, pain and quality of life: a systematic review. Physiotherapy. 2019;105(1):24-34.
  29. Michalska A, Rokita W, Wolder D, Pogorzelska J, Kaczmarczyk K. Diastasis recti abdominis - a review of treatment methods. Ginekol Pol. 2018;89(2):97-101.
  30. Chiarello CM, McAuley JA. Concurrent validity of calipers and ultrasound imaging to measure interrecti distance. J Orthop Sports Phys Ther. 2013;43(7):495-503.
  31. Bursch SG. Interrater reliability of diastasis recti abdominis measurement. Phys Ther. 1987;67(7):1077-9.
  32. Mota P, Pascoal AG, Sancho F, Bø K. Test-retest and intrarater reliability of 2-dimensional ultrasound measurements of distance between rectus abdominis in women. J Orthop Sports Phys Ther. 2012;42(11):940-6.
  33. Nahas FX, Augusto SM, Ghelfond C. Nylon versus polydioxanone in the correction of rectus diastasis. Plast Reconstr Surg. 2001;107(3):700-6.
  34. Emanuelsson P, Gunnarsson U, Strigård K, Stark B. Early complications, pain, and quality of life after reconstructive surgery for abdominal rectus muscle diastasis: a 3-month follow-up. J Plast Reconstr Aesthet Surg. 2014;67(8):1082-8.
  35. Hickey F, Finch JG, Khanna A. A systematic review on the outcomes of correction of diastasis of the recti. Hernia. 2011;15(6):607-14.
  36. Mommers EHH, Ponten JEH, Al Omar AK, de Vries Reilingh TS, Bouvy ND, Nienhuijs SW. The general surgeon's perspective of rectus diastasis. A systematic review of treatment options. Surg Endosc. 2017;31(12):4934-49.
  37. Gluppe SL, Hilde G, Tennfjord MK, Engh ME, Bø K. Effect of a Postpartum Training Program on the Prevalence of Diastasis Recti Abdominis in Postpartum Primiparous Women: A Randomized Controlled Trial. Phys Ther. 2018;98(4):260-8.
  38. Nahas FX, Augusto SM, Ghelfond C. Should diastasis recti be corrected? Aesthetic Plast Surg. 1997;21(4):285-9.
  39. Williams TC, Hardaway M, Altuna B. Ambulatory abdominoplasty tailored to patients with an appropriate body mass index. Aesthet Surg J. 2005;25(2):132-7.
  40. Palanivelu C, Rangarajan M, Jategaonkar PA, Amar V, Gokul KS, Srikanth B. Laparoscopic repair of diastasis recti using the 'Venetian blinds' technique of plication with prosthetic reinforcement: a retrospective study. Hernia. 2009;13(3):287-92.
  41. Zukowski ML, Ash K, Spencer D, Malanoski M, Moore G. Endoscopic intracorporal abdominoplasty: a review of 85 cases. Plast Reconstr Surg. 1998;102(2):516-27.
  42. Fiori F, Ferrara F, Gobatti D, Gentile D, Stella M. Surgical treatment of diastasis recti: the importance of an overall view of the problem. Hernia. 2021;25(4):871-82.
  43. Nahas FX, Ferreira LM, Mendes Jde A. An efficient way to correct recurrent rectus diastasis. Aesthetic Plast Surg. 2004;28(4):189-96.
  44. Yousif NJ, Lifchez SD, Nguyen HH. Transverse rectus sheath plication in abdominoplasty. Plast Reconstr Surg. 2004;114(3):778-84.
  45. Brauman D, Capocci J. Liposuction abdominoplasty: an advanced body contouring technique. Plast Reconstr Surg. 2009;124(5):1685-95.
  46. Batchvarova Z, Leymarie N, Lepage C, Leyder P. Use of a submuscular resorbable mesh for correction of severe postpregnancy musculoaponeurotic laxity: an 11-year retrospective study. Plast Reconstr Surg. 2008;121(4):1240-8.
  47. Kanjoor JR, Singh AK. Lipoabdominoplasty: An exponential advantage for a consistently safe and aesthetic outcome. Indian J Plast Surg. 2012;45(1):77-88.
  48. Bezama J. Técnica quirúrgica para reparar la diástasis de rectos asociada a hernia umbilical. Diez años de experiencia. Rev Hispanoam Hernia. 2017;5(2):52-6.
  49. Nahas FX, Ferreira LM, Augusto SM, Ghelfond C. Long-term follow-up of correction of rectus diastasis. Plast Reconstr Surg. 2005;115(6):1736-41.
  50. Gama LJM, Barbosa MVJ, Czapkowski A, Ajzen S, Ferreira LM, Nahas FX. Single-Layer Plication for Repair of Diastasis Recti: The Most Rapid and Efficient Technique. Aesthet Surg J. 2017;37(6):698-705.
  51. Nahas FX, Faustino LD, Ferreira LM. Abdominal Wall Plication and Correction of Deformities of the Myoaponeurotic Layer: Focusing on Materials and Techniques Used for Synthesis. Aesthet Surg J. 2019;39(Suppl_2):S78-S84.
  52. Cheesborough JE, Dumanian GA. Simultaneous prosthetic mesh abdominal wall reconstruction with abdominoplasty for ventral hernia and severe rectus diastasis repairs. Plast Reconstr Surg. 2015;135(1):268-76
  53. Emanuelsson P, Gunnarsson U, Dahlstrand U, Strigård K, Stark B. Operative correction of abdominal rectus diastasis (ARD) reduces pain and improves abdominal wall muscle strength: A randomized, prospective trial comparing retromuscular mesh repair to double-row, self-retaining sutures. Surgery. 2016;160(5):1367-75.
  54. Nahabedian MY. Diastasis recti repair with onlay mesh. Hernia. 2021;25(4):855-62.
  55. Pollock H, Pollock T. Progressive tension sutures: a technique to reduce local complications in abdominoplasty. Plast Reconstr Surg. 2000;105(7):2583-6.
  56. van Uchelen JH, Werker PM, Kon M. Complications of abdominoplasty in 86 patients. Plast Reconstr Surg. 2001;107(7):1869-73.
  57. Tadiparthi S, Shokrollahi K, Doyle GS, Fahmy FS. Rectus sheath plication in abdominoplasty: assessment of its longevity and a review of the literature. J Plast Reconstr Aesthet Surg. 2012;65(3):328-32.
  58. Mestak O, Kullac R, Mestak J, Nosek A, Krajcova A, Sukop A. Evaluation of the long-term stability of sheath plication using absorbable sutures in 51 patients with diastasis of the recti muscles: an ultrasonographic study. Plast Reconstr Surg. 2012;130(5):714e-719e.
  59. de Castro EJP, Radwanski HN, Pitanguy I, Nahas F. Long-term ultrasonographic evaluation of midline aponeurotic plication during abdominoplasty. Plast Reconstr Surg. 2013;132(2):333-8.
  60. Elkhatib H, Buddhavarapu SR, Henna H, Kassem W. Abdominal musculoaponeuretic system: magnetic resonance imaging evaluation before and after vertical plication of rectus muscle diastasis in conjunction with lipoabdominoplasty. Plast Reconstr Surg. 2011;128(6):733e-740e.
  61. Kaufmann RL, Reiner CS, Dietz UA, Clavien PA, Vonlanthen R, Käser SA. Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study. Hernia. 2022;26(2):609-18.