SubCutaneous OnLay endoscopic Approach (SCOLA) mesh repair for small midline ventral hernias with diastasis recti: An initial US experience.

Surgical Endoscopy
Caroline T DongFlavio Malcher

Abstract

Patients presenting for evaluation of umbilical and epigastric hernias are often found to have diastasis recti (DR). As isolated hernia repair in these patients may be associated with higher rates of recurrence, prior international publications have described a prefascial mesh repair in combination with anterior plication of DR. We present our initial United States (US) experience with a SubCutaneous OnLay endoscopic Approach (SCOLA) to address these concurrent pathologies in a single hybrid procedure. Between July 2018 and December 2019, a prospective cohort of 16 patients underwent the SCOLA procedure. Subcutaneous dissection was carried out from the suprapubic region superiorly to the xiphoid process and laterally to the linea semilunaris. Hernia contents were reduced and defects were incorporated into anterior DR plication, which was performed with running barbed suture. Onlay mesh was placed to cover the entire dissected space, and subcutaneous drains were placed. Three separate attendings performed cases with one supervising attending for standard technique. Of 16 patients, 14 (87.5%) were female. The mean age was 45.7 (11.9) years; mean BMI was 29.0 (3.6) kg/m2. The mean hernia defect size was 1.9 (0.7) cm. Mean operativ...Continue Reading

References

Aug 1, 1995·Plastic and Reconstructive Surgery·M A Corrêa
Jan 12, 1999·Chirurgie; mémoires de l'Académie de chirurgie·G ChampaultC Barrat
Mar 18, 2011·The Cochrane Database of Systematic Reviews·Stefan SauerlandMarc Miserez
Jun 25, 2016·Surgical Endoscopy·Puraj P PatelAlfredo M Carbonell
Jun 10, 2017·Surgical Endoscopy·Elwin H H MommersSimon W Nienhuijs
Apr 6, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Gernot KöhlerRudolf Schrittwieser
Aug 31, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A Sharma, D Berger
Dec 13, 2018·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Christiano Marlo Paggi ClausRodrigo Garcia
Jan 1, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Leandro Cardoso BarchiBruno Zilberstein
Mar 25, 2020·BJS Open·N A HenriksenUNKNOWN on behalf of the European Hernia Society and the Americas Hernia Society

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Citations

Mar 5, 2021·Surgical Endoscopy·Salvatore CuccomarinoAlberto Jannaci
Jul 29, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H ElHawaryJ E Janis
Jul 26, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C ClausF Malcher

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