Chirurgie du diastasis des droits : indications et nouvelles approches

Rectus abdominis diastasis is defined as a widening of the linea alba exceeding 2 cm. The European Hernia Society (EHS) provides a classification to guide its management. This article details the abdominal wall surgeon's perspective, particularly for symptomatic patients without major skin excess. Following a well-conducted physiotherapy, the rise of minimally invasive extraperitoneal techniques, particularly robotic approaches, offers an alternative to abdominoplasty in selected cases. By avoiding large subcutaneous dissections, these posterior approaches drastically reduce morbidity. The goal of the repair goes beyond cosmetics: it aims for a complete biomechanical and functional restoration.