Abstract
Background:
Rectus muscle plication is commonly performed at the time of abdominoplasty, however there are several variations amongst techniques used for plication. Rectus diastasis is a condition defined by weakness of the midline abdominal wall and widening of the linea alba which may have both functional and cosmetic side effects.
Methods:
We describe a novel technique for rectus muscle plication using long-acting, absorbable, running barbed suture in a double-layered fashion.
Results:
Sixteen patients from October 2024 to May 2025 included patients were found to have an average width of 6 cm plication, with a range of 2 to 8 cm. There have been no significant respiratory, bleeding or infectious complications identified in this patient group post operatively. To date, with short-term follow-up of this patient population, there has been no clinical evidence of suture line disruption or recurrent diastasis, eventration or herniation.
Conclusion:
Our technique for rectus muscle plication during abdominoplasty may reduce operative time, infection rate, suture-granuloma formation, and long-term pain when compared with nonabsorbable suture. This technique has comparable recurrence rates compared to permanent suture or traditional nonbarbed long-lasting absorbable suture in the short term, to date. In our experience, this technique has allowed us to perform durable rectus muscle plication with decreased risk of complications and increased surgical efficiency.
Level of Evidence:
Level V—Opinions of respected authorities, based on clinical experience, descriptive studies or reports of expert committees.
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