Diastasis Recti

The PeTEP technique (preperitoneal extended totally extraperitoneal) is a modern, minimally invasive method for treating rectus diastasis and small to medium-sized abdominal wall defects. The goal is to achieve anatomical reconstruction of the abdominal wall while minimizing the burden on the patient. Access is entirely extraperitoneal, which protects the peritoneum and prevents direct contact between the mesh and the internal organs. This reduces the risk of adhesions and allows for a stable, tension-free repair of the midline. In my technique, I prefer to use a so-called “bottom-up” approach from the lower abdominal region. Reconstruction of the linea alba is performed using the inverting Geneva stitch technique, which realigns the rectus abdominis muscles centrally and functionally. A particular advantage of this procedure lies in the cosmetic outcome: the incisions are located in the bikini line and are therefore barely visible later on. This allows for not only functional restoration but also a highly aesthetically pleasing result.