The Italian national consensus conference on the diagnosis and treatment of Rectus Abdominis diastasis in Post-gravidic Women.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bracale Umberto, Stabilini Cesare, Cavallaro Giuseppe, Pecchini Francesca, Sarno Gerardo, Agresta Ferdinando, Carlucci Michele, Rocchetti Simona, Sartori Alberto, Di Leo Alberto, Andreuccetti Jacopo, Pignata Giusto, Tartaglia Ernesto, Sagnelli Carlo, Cuccurullo Diego, Iossa Angelo, Vettoretto Nereo, Lionetti Ruggiero, Bertoglio Camillo, Confalonieri Marco, Testini Mario, Soliani Giorgio, Galatioto Christian, Crucitti Antonio, Piccoli Micaela, Formisano Giampaolo, Iacone Biancamaria, Aiolfi Alberto, Procida Giuseppa, Montori Giulia, Tramontano Salvatore, Balla Andrea, Giovannini Sara Capoccia, Cavalli Marta, Campanelli Giampiero, Podda Mauro
Аннотация
METHODS: A Delphi process was conducted under the auspices of the Italian Society of Hernia and Abdominal Wall Surgery (ISHAWS), the national chapter of the European Hernia Society (EHS). A steering committee supervised systematic literature reviews to evaluate the quality of evidence and formulate recommendations. Iterative rounds of voting involving 105 expert panellists were conducted, with Consensus defined as ≥ 70% agreement. Non-consensual recommendations were revised and discussed in a plenary session during the Italian Society of Surgery (SIC) Congress, 2024.
RESULTS: Consensus was achieved on 12 recommendations covering RAD diagnosis, classification, and treatment. Key findings included the endorsement of radiological methods for accurate RAD assessment, the establishment of surgical thresholds (> 2.5 cm inter-recti distance for symptom improvement), and the recommendation of minimally invasive linea alba plication for surgical management. Non-operative treatments, such as targeted exercise programs, were emphasized as first-line approaches. For RAD with concomitant hernias of the linea alba with defects > 1 cm, mesh reinforcement was strongly recommended, with extraperitoneal placement preferred. The importance of tailoring approaches based on patient-specific factors and fostering shared decision-making was highlighted.
CONCLUSION: This consensus provides a structured framework for RAD management, emphasizing accurate diagnosis, tailored treatments, and patient-centered care. Future multicenter studies are required to address remaining evidence gaps and refine these recommendations.