Abdominal Diastasis Surgery in Uberlândia-MG — Laparoscopic or Robotic Correction

No. In diastasis the linea alba is widened but continuous: the rectus muscles move apart and the wall becomes thinner, without an actual opening. In a hernia there is a genuine weak point, with a rupture of the musculature and the aponeurosis, which opens a passage through which intra-abdominal contents move from one place to another. The two often coexist, because the same weakening of the midline favors both — and when that happens the repair is usually done in the same operation. The distinction matters because it changes the technique indicated and also what a health plan covers.

It varies by technique and the extent of the repair — from about 1 hour in simpler cases to 3 hours or more when extensive abdominal wall reconstruction or skin removal is involved. The exact time is only determined after an individual evaluation.

It depends on the technique: laparoscopic or robotic procedures are usually done under general anesthesia or spinal anesthesia with sedation; traditional abdominoplasty is generally done under general anesthesia. The pre-anesthesia evaluation determines what's appropriate for each patient.

The plan is one day in hospital for every technique: the patient has the operation, stays overnight and is discharged the following day. This may vary according to the extent of surgery and each patient's recovery.

Some degree of discomfort is expected and is managed with hospital analgesia and, later, oral medication. Intensity varies by person and tends to be lower with minimally invasive techniques than with traditional abdominoplasty.

With some techniques, yes, temporarily — particularly when skin removal is involved, as in abdominoplasty. Drains are used less often with laparoscopic or robotic techniques. The need is assessed on a case-by-case basis.

It depends on the technique: SCOLA and MILA/MAMI use small incisions (MAMI can take advantage of an existing C-section scar, when appropriate), while traditional abdominoplasty leaves a larger suprapubic scar. This is discussed in detail during your evaluation, considering the degree of diastasis and any excess skin.

Yes, wearing a compression garment or binder after surgery is common across nearly all techniques, to support the abdominal wall during healing. The duration is determined individually.

Return to work generally happens at around 15 days with SCOLA and MILA, and at around 30 days with MAMI and abdominoplasty. The timeframe also depends on the type of work involved and on each patient's recovery.

High-impact exercise or activities that involve lifting weight are generally cleared at around 30 days with SCOLA and MILA, and between 45 and 60 days with MAMI and abdominoplasty. Clearance is always progressive, according to healing and medical follow-up.

As with any abdominal wall surgery, there are risks described in the medical literature, including bleeding, infection, seroma (fluid buildup), altered sensation in the operated area, and, less commonly, recurrence of the diastasis. Rates vary by technique and individual patient factors, and should be discussed individually before deciding on surgery.

Yes. Clinical conditions that don't allow for safe anesthesia, uncontrolled obesity (which may be a temporary contraindication until weight is addressed), and plans for a near-future pregnancy are factors typically considered — each case is evaluated individually.

Recurrence is possible, as with any abdominal wall reconstruction, particularly with a new pregnancy, significant weight fluctuation, or inappropriate physical strain during recovery. Results vary by individual factors, which is discussed during your evaluation.

There is a health-plan code for diastasis, but only for the open route. I do not perform diastasis surgery through a health plan in any technique — neither minimally invasive (laparoscopic or robotic) nor abdominoplasty: it is always private. What is possible is, when there is a real medical indication that is functional rather than aesthetic, or when there is an associated hernia, to ask the plan to cover part of the hospital stay and of the surgical materials; the surgical team's fees always remain private. Everything is agreed and put in writing before surgery. For other operations, what the plan covers can only be said after a medical assessment of the case.

This channel is for my private practice. Through the SUS, care does not go through my private practice: the only way to be operated on through the SUS is to go to the health post or Basic Health Unit nearest your home, be assessed by a doctor and, if indicated, be placed in your municipality's regulation queue. The surgeon does not choose the order of who gets operated on through the SUS — the queue is followed strictly, according to SUS rules. I am a Professor of Surgery at the School of Medicine of the Federal University of Uberlândia and I operate on SUS patients at the university hospital, HC-UFU, but it is not possible to schedule your care directly with me through these websites or contacts.