الفهرس 
EMBRYOLOGY OF THE ANTERIOR ABDOMINAL WALLOnly 14 pages are availabe for public view
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Abstract
T
ummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer.
Diastasis recti means the belly sticks out because the space between left and right belly muscles has widened.
The most notable symptom of anterior abdominal wall weakness or diastasis recti is a noticeable protrusion in the stomach. This protrusion is caused by weakness and separation of the muscles in the mid-abdomen.
One of most important cause of weakness of abdominal wall is pregnancy
Routine daily movement can exaggerate the weakness of anterior abdominal wall like strains,constipation,lifting heavy things
The condition can also occur in obese men or in women who have never been pregnant as obesity can cause diastasis recti because the excess fat deposits put additional pressure on the stomach muscles, frequent or rapid changes in weight like massive weight loss in post bariatric patient, long- or short-term swelling of the abdomen related to fluid inside of the abdominal cavity from conditions such as cirrhosis of the liver or cancer within the abdomen and advanced ages.
The restoration of the integrity of the abdominal wall by abdominoplasty and muscle plication provide dynamic support and protect the abdominal contents
Rectus diastasis width is significantly correlated with the IAP immediately after abdominoplasty, therefore the larger the width of the rectus diastasis, more increase of IAP would happen immediately after abdominoplasty. Despite the previous studies reported correlation that IAP showed no significant increase among other studies subjects after surgical maneuver.
We recommended the following in order to better understanding the relation between the distance of rectus plication and the intra-abdominal pressure changes before and immediately after placation:
1- Further studies with larger sample size are needed in order to evaluate the relation between the distance of rectus plication and the intra-abdominal pressure changes before and immediately after abdominoplasty.
2- Further similar study should be designed after inclusion of BMI pre and postoperative in order to avoid variation in the BMI among patients.
3- Further studies including patients presenting with larger diastases is needed to provide a better understanding of the treatment of this deformity.
4- Further similar study should focus on the hazardous effects of abdominoplasty on pulmonary functions.