Hi, It s a really hard problem. Without directly examining, I can only give general information, but the mechanics of this situation are really bad. The muscle gets thinned, and the gut pops out of gaps. Often, there is not much good muscle to sew back together. Giving artificial abdominal structures with plastic mesh has not proven out and there has been a lot of complication with it. Surgeons often see there isn t good areas to stitch together. University hospitals are a potential place to try. But it s a hard problem in general. Oddly enough, weight loss sometimes helps and weight loss surgery might be an option. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist