As the defect is 4cm better to go for open procedure than laproscopic as in open we can even do component separation for divarcation of rectii
Since ur 4mnths postpartum better to wait
Meanwhile use abdominal binder for support
Next Steps
Abdominal binder application
Avoid streneous exercises and heavy weight lifting
Avoid atraining during defecation
Health Tips
Get ultrasound abdomen n pelvia done n consult surgeon