Articles and insights
This section collects articles on abdominal wall surgery: rectus diastasis, hernias, incisional hernias, the TESAR technique and the morpho-functional approach. Each article answers a concrete question, in the language Dr. Fiori uses in the clinic: clear, verifiable and free of promises.
- Bloating, Constipation, and the Abdomen That Changes Through the Day — Why the same abdomen looks flat in the morning and distended by evening, how constipation contributes, and what deserves to be reported during a specialist visit.
- Diastasis and Running: What to Clarify Before Going Back — Returning to running with an abdominal diastasis is possible for most people, but timing and technique deserve honest reasoning. What the evidence really says, what running demands of the abdominal wall, and a sensible progression.
- Breathing, Abdominal Pressure, and the Exercises That Make Things Worse — How intra-abdominal pressure behaves during exercise, why the way a movement is done matters more than the movement itself, and where to intervene first when a Diastasis or a weakened Linea Alba is involved.
- Diastasis and Low Back Pain: What the Data Actually Say — The link between abdominal Diastasis and low back pain is often stated as fact. Matched comparisons tell a more cautious story, and another symptom shows a clearer association.
- Rectus diastasis: aesthetic or functional problem? — A bulge with no symptoms is not the same problem as pain, trunk instability and a core that no longer works: the distinction decides whether surgery is on the table.
- Pelvic Floor and Diastasis: A Weaker Link Than the Story Suggests — Abdominal diastasis and pelvic floor dysfunction often appear together, but co-occurrence is not proof of cause. A look at what the measurements actually show, and what changes in clinical practice.
- Rectus Diastasis in Men — Rectus diastasis is not a female-only condition. In men it follows different mechanisms and is often confused with an abdominal hernia, which changes the whole clinical picture.
- How Rectus Diastasis Is Measured and When It Becomes Significant — How rectus diastasis is measured with fingers, ultrasound, and CT, which reference values matter, and the honest limits of each method.
- A second opinion after abdominoplasty: what can still be corrected — The most delicate consultation in this field: a patient who has already been operated on, is disappointed, and needs an honest explanation before another proposal.
- Diastasis and umbilical hernia: why they so often go together — The two conditions are often described separately and found together. How to tell them apart, why the combination changes the plan, and which signs deserve prompt attention.
Frequently asked questions about this section
- Who writes the articles on this website?
- The articles are written and reviewed by Dr. Federico Fiori, Head of the Abdominal Wall Surgery Unit at ASST Santi Paolo e Carlo — San Carlo Borromeo Hospital in Milan.
- Do the articles replace a medical consultation?
- No. They are informational material meant to help you get your bearings and come to your consultation with sharper questions. Any treatment recommendation requires an individual clinical assessment.
- How are the articles organized?
- By category: diastasis, hernias, incisional hernias, rehabilitation, prehabilitation, patient pathway, plastic surgery and surgical techniques. The technical articles are aimed at colleagues as well.
- Can you suggest a topic?
- Yes. The questions patients send through the contact page are the main source of the topics covered.
Updated: 2026-07-01 · Content by Dr. Federico Fiori