Objective. To describe the technique of endoscopic extraperitoneal correction of diastasis recti (eTEP Rives—Stoppa) and analyze postoperative outcomes.

Material and methods. There were 150 patients with supraumbilical diastasis recti. Isolated diastasis was observed in 42 patients, combination with primary median ventral hernias — in 108 cases. Patients were examined in 2 weeks, 3 months, 6 months, and 1 year after surgery.

Results. Mean surgery time was 109.2 min. There were no intraoperative complications, recurrent diastasis recti or hernia. Retromuscular hematomas occurred in 2 cases and required redo surgery. Local surgical infection was absent. Three patients had persistent hernia sac seroma that required puncture in delayed postoperative period. In 4 patients, chronic pain was noted in 6 months after surgery (VAS score 2 — 4).

Conclusion. Ndoscopic correction of diastasis recti significantly reduces the risk of local infectious complications, postoperative pain, ensures favorable cosmetic outcome and fast postoperative rehabilitation.

Keywords. diastasis recti, ventral hernia, endoscopic Rives—Stoppa surgery