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Diastasis Rectus Abdominis Repair

Diastasis (or separation) of the Rectus Abdominis muscle is a common condition following pregnancy, or after many years of abnormal abdominal loading.

Diastasis Rectus Abdominis (DRA) can lead to impairment of abdominal wall function, and secondary loss of core strength. This anatomic injury causes biomechanical strain, leading to multiple symptoms including: low and mid back pain, pelvic girdle pain, urinary incontinence, and pelvic organ prolapse. Physiotherapy can help some women improve their muscle separation, while others require surgical intervention. What appears essential is the ability to generate tension between the recti in order to create and maintain core strength.

Dr Demianczuk continues to work closely with physiotherapists who are world leaders in the understanding and management of DRA. In a DRA repair, the rectus muscles are repaired, recreating normal anatomy, and thereby allowing tension to form across the core muscles. This procedure is very effective in reducing DRA associated symptoms, while simultaneously improving the patient’s physical appearance.

Diastasis Rectus Abdominis Repair Surgeon in Vancouver

The Surgical Experience

A Diastasis Rectus Abdominis repair is performed under general anaesthesia in an accredited surgical facility and typically takes 2-3 hours to complete. It is considered an outpatient procedure. It is frequently combined with skin tightening and hernia repair. After surgery, patients will wear a compression garment for 4-6 weeks. Patients will be encouraged to move around after surgery in order to promote blood circulation. Most patients will need 2 weeks off work following surgery, and should attend physiotherapy after 6 weeks.

Frequently Asked Questions

Is diastasis rectus abdominis repair insured by my insurance plan?

Repair of the rectus muscles is currently not an insured service under the BC Medical Services Plan. Some third party insurance companies may insure some portions of this procedure. Patients will need to check with their insurer.

Will mesh be used in the repair?

No mesh is used in this type of repair, even if present in combination with a hernia. Dr Demianczuk’s technique does not require placement of foreign material to restore the normal anatomy.

Is this procedure insured by my insurance plan?

Repair of the rectus muscles is currently not an insured service under the BC Medical Services Plan. Some third party insurance companies may insure some portions of this procedure. Patients will need to check with their insurer.

What is diastasis recti and how is it repaired surgically?

Diastasis recti (or diastasis rectus abdominus / DRA) is a separation of the abdominal muscles, often occurring after pregnancy. Surgical repair typically involves tightening the muscles and narrowing the separation using stitches, usually performed through a tummy tuck (abdominoplasty) incision.

How long is the recovery period after diastasis recti repair surgery?

The recovery period for diastasis recti repair surgery is generally 2-4 weeks. Most patients can return to normal activities within this time, but strenuous exercise should be avoided for at least 6 weeks.

What are the potential risks or complications of diastasis recti repair surgery?

DRA repair is performed as an outpatient procedure in an accredited surgical facility. Potential risks include infection (1%), excessive bleeding / hematoma (1%), excessive / poor scarring, asymmetry, seroma / fluid collection (2%), recurrence of diastasis (

Can diastasis recti be treated without surgery?

Non-surgical alternatives can be of benefit for some patients. Non surgical treatment would include intensive physical therapy, specialized exercise programs, and the use of abdominal braces or binders. This treatment is provided by physiotherapists with an expertise in pelvic floor therapy, and DRA management. Surgical treatment should be considered in patients where non surgical therapy has been unsuccessful, or in particularly severe cases.

How much does diastasis recti repair surgery typically cost?

The cost can vary, however typical prices range from $12,000 to $18,000.

Schedule your consultation

To find out how Diastasis Rectus Abdominis Repair procedure can help you meet your goals, contact Dr. Demianczuk.

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Patient Testimonials

“Had surgery with Dr. D about 7 months ago for repair of my wide rectus diastasis. I had seen several other surgeons prior to him and was impressed with his demeanor and knowledge. The consultation was very thorough . Everything went well with the surgery. I’m very happy with the results and have noticed significant improvement in core strength. I would strongly recommend him for rectus repair.”

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