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resign myself to recurrence? work on it with nutrition?

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I have diastasis recti - (65 yr old man) - after 2 surgeries I have another 2 hernias, but due to my health issues surgeon recommends no mesh but another patch - is there an alternative medical approach to care for this condition or do I resign myself to recurrences and more surgeries? I find this rather depressing - can I work on this condition through nutrition?

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replied July 2nd, 2012
Hernia Answer A36645
Welcome to e health forum.

The most likely cause of Diastasis Recti (abnormal separation or gap between the rectus abdominus muscle) in men is due to obesity.

Presence of a weak abdominal wall or associated co-morbid conditions can be the cause of your doctor advising conservative measures for you.

Caloric restriction and increase in physical activity are both important in controlling obesity. In severe cases abdominoplasty procedure (where the defect in the abdominal wall is strengthened) can be done. A patch procedure involves a synthetic mesh being placed on the surface of the abdominal defect. A proper laparoscopic procedure where the Mesh is placed within the abdominal cavity, closing the gap from within, is much more invasive than a patch procedure, requiring general anesthesia and requires the patient to be medically fit for the procedure.

At your age and associated other medical issues, you may not be having full fitness for the surgery, and hence your treating doctor might not be willing to take the risk.

In addition, to surgery, the other best options would be proper diet and physical exercise, which will allow you lose weight, and hence reduce the severity of the herniation. Once your fitness is attained at a later date, a definitive procedure might be possible.

You may consult with your doctors for additional information and seek appropriate treatment.

I hope this helps.

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