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Related to rectus abdominis: Transverse abdominis, Internal oblique
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2,16,17) These shear forces place stress on the inguinal wall musculature and can lead to attenuation of local soft tissues, including the following: tearing of the transversalis fascia or conjoined tendon, abnormalities at the insertion of the rectus abdominis muscle, avulsion of the internal oblique muscle fibers at the pubic tubercle, intrasubstance tear of the internal oblique muscle, and attenuation of the external oblique muscle and aponeurosis.
Adverse clinical effects that have been reported with DRA are: lumbosacral instability (Chiarello and McAuley 2013, Coldron et al 2008); low back and pelvic girdle pain (Chiarello and McAuley 2013, Coldron et al 2008); decreased strength and endurance of the rectus abdominis (Chiarello and McAuley 2013); respiratory, pelvic floor and postural changes (Barbosa et al 2013, Chiarello and McAuley 2013).
The rectus abdominis was incised anteriorly longitudinally, the linea alba was split, and, though both heads of the rectus were elevated from the pubic symphysis, their attachments were maintained to the anterior aspects of the superior pubic rami.
htm The external obliques are to each side of the rectus abdominis, and consist of both the front-lateral and "love handle" areas in the midsection.
Rectus abdominis has been shown to become thinner, wider, and to have increased inter-recti distance on ultrasound evaluation, and is still not recovered at 12 months postpartum (Coldron et al 2008).
This paper describes the Emory University experience of radiotherapy following a pedicled transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction.
The necrosis extended into all the abdominal adipose tissue at the rectus abdominis muscle and linea alba.
In people with diastasis recti, or DR, the abdominal wall may bulge between two halves of the rectus abdominis muscle (see picture above right).
The procedure is a variation of the most commonly performed breast reconstruction surgery method, the TRAM flap, in which muscle, tissue and fat are removed from the transverse rectus abdominis muscle (TRAM) in the lower abdomen.
In this report, researchers describe 2 patients with HIV-associated lipodystrophy who also had diastasis rectus abdominis.
The lower trocars are placed lateral to the deep inferior epigastric vessels on each side, and the upper trocars are placed lateral to the rectus abdominis muscle at about the level of the umbilicus.