Prevalencia de diastasis de rectos en pacientes de 18 a 95 años con diagnóstico de hernia umbilical atendidos en el Hospital Básico de Duran IESS durante el periodo agosto - septiembre del año 2019.

Abstract

One of the surgical procedures with the highest incidence worldwide is the repair of umbilical hernias (1), reaching 350,000 surgical procedures per year in the United States of America (2) representing the sixth cause of morbidity in Ecuador in 2017, with 14,305 cases, with 10,832 cases of the male sex. Diastasis recti is characterized by a gradual thinning and stretching of the alba line (3), which carries a great risk of developing umbilical hernias due to the deterioration of the connective tissue and muscle stretching (4) Several studies have described the concomitant relationship of umbilical hernias and rectus diastasis, with a prevalence of 45% in patients with umbilical hernias <2 cm (4) the surgical procedure to be preferred in these cases is the correction of both defects, however not There is a specific recommendation to follow, the criteria to repair diastasis recti are for symptomatic reasons or the presence of hernia in the midline (5), it is important to know the prevalence of diastasis recti in patients with umbilical hernia, in order to be able to know the frequency of this presentation and perform the best procedure in these patients.