When an umbilical or epigastric hernia occurs alongside a rectus diastasis, operative management becomes more complex. This specific combination requires a structured approach that accounts for both the hernia defect and the underlying abdominal wall condition.
The presence of a rectus diastasis and a concomitant umbilical or epigastric hernia presents a significant challenge with respect to operative management.
The presence of a rectus diastasis is a known risk factor for recurrence after sutured repair, making the choice of repair technique especially important in this setting.
Mesh-based repair of the umbilical or epigastric hernia defect is central to the evidence-based approach in this setting. The complete repair protocol — including how the rectus diastasis is addressed in the operative plan — is available in the full structured regimen.