SUBCUTANEOUS ONLAY LAPAROSCOPIC APPROACH (SCOLA) FOR VENTRAL HERNIA AND RECTUS ABDOMINIS DIASTASIS REPAIR: TECHNICAL DESCRIPTION AND INITIAL RESULTS

Christiano Marlo Paggi Claus, Flavio Malcher, Leandro Totti Cavazzola, Marcelo Furtado, Alexander Morrell, Mauricio Azevedo, Luciana Guimarães Meirelles, Heitor Santos, Rodrigo Garcia

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

BACKGROUND: Diastasis of the rectus abdominis muscles (DMRA) is frequent and may be associated with abdominal wall hernias. For patients with redudant skin, dermolipectomy and plication of the diastasis is the most commonly used procedure. However, there is a significant group of patients who do not require skin resection or do not want large incisions. AIM: To describe a "new" technique (subcutaneous onlay laparoscopic approach - SCOLA) for the correction of ventral hernias combined with the DMRA plication and to report the initial results of a case series. METHOD: SCOLA was applied in 48 patients to correct ventral hernia concomitant to plication of DMRA by pre-aponeurotic endoscopic technique. RESULTS: The mean operative time was 93.5 min. There were no intra-operative complications and no conversion. Seroma was the most frequent complication (n=13, 27%). Only one (2%) had surgical wound infection. After a median follow-up of eight months (2-19), only one (2%) patient presented recurrence of DMRA and one (2%) subcutaneous tissue retraction/fibrosis. Forty-five (93.7%) patients reported being satisfied with outcome. CONCLUSION: The SCOLA technique is a safe, reproducible and effective alternative for patients with abdominal wall hernia associated with DMRA.

Original languageEnglish (US)
Pages (from-to)e1399
JournalArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
Volume31
Issue number4
DOIs
StatePublished - Dec 6 2018
Externally publishedYes

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Ventral Hernia
Rectus Abdominis
Inlays
Abdominal Hernia
Abdominal Wall
Seroma
Surgical Wound Infection
Skin
Subcutaneous Tissue
Operative Time
Fibrosis
Recurrence
Muscles

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Cite this

SUBCUTANEOUS ONLAY LAPAROSCOPIC APPROACH (SCOLA) FOR VENTRAL HERNIA AND RECTUS ABDOMINIS DIASTASIS REPAIR : TECHNICAL DESCRIPTION AND INITIAL RESULTS. / Claus, Christiano Marlo Paggi; Malcher, Flavio; Cavazzola, Leandro Totti; Furtado, Marcelo; Morrell, Alexander; Azevedo, Mauricio; Meirelles, Luciana Guimarães; Santos, Heitor; Garcia, Rodrigo.

In: Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, Vol. 31, No. 4, 06.12.2018, p. e1399.

Research output: Contribution to journalArticle

Claus, Christiano Marlo Paggi ; Malcher, Flavio ; Cavazzola, Leandro Totti ; Furtado, Marcelo ; Morrell, Alexander ; Azevedo, Mauricio ; Meirelles, Luciana Guimarães ; Santos, Heitor ; Garcia, Rodrigo. / SUBCUTANEOUS ONLAY LAPAROSCOPIC APPROACH (SCOLA) FOR VENTRAL HERNIA AND RECTUS ABDOMINIS DIASTASIS REPAIR : TECHNICAL DESCRIPTION AND INITIAL RESULTS. In: Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery. 2018 ; Vol. 31, No. 4. pp. e1399.
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abstract = "BACKGROUND: Diastasis of the rectus abdominis muscles (DMRA) is frequent and may be associated with abdominal wall hernias. For patients with redudant skin, dermolipectomy and plication of the diastasis is the most commonly used procedure. However, there is a significant group of patients who do not require skin resection or do not want large incisions. AIM: To describe a {"}new{"} technique (subcutaneous onlay laparoscopic approach - SCOLA) for the correction of ventral hernias combined with the DMRA plication and to report the initial results of a case series. METHOD: SCOLA was applied in 48 patients to correct ventral hernia concomitant to plication of DMRA by pre-aponeurotic endoscopic technique. RESULTS: The mean operative time was 93.5 min. There were no intra-operative complications and no conversion. Seroma was the most frequent complication (n=13, 27{\%}). Only one (2{\%}) had surgical wound infection. After a median follow-up of eight months (2-19), only one (2{\%}) patient presented recurrence of DMRA and one (2{\%}) subcutaneous tissue retraction/fibrosis. Forty-five (93.7{\%}) patients reported being satisfied with outcome. CONCLUSION: The SCOLA technique is a safe, reproducible and effective alternative for patients with abdominal wall hernia associated with DMRA.",
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AU - Claus, Christiano Marlo Paggi

AU - Malcher, Flavio

AU - Cavazzola, Leandro Totti

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AU - Garcia, Rodrigo

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AB - BACKGROUND: Diastasis of the rectus abdominis muscles (DMRA) is frequent and may be associated with abdominal wall hernias. For patients with redudant skin, dermolipectomy and plication of the diastasis is the most commonly used procedure. However, there is a significant group of patients who do not require skin resection or do not want large incisions. AIM: To describe a "new" technique (subcutaneous onlay laparoscopic approach - SCOLA) for the correction of ventral hernias combined with the DMRA plication and to report the initial results of a case series. METHOD: SCOLA was applied in 48 patients to correct ventral hernia concomitant to plication of DMRA by pre-aponeurotic endoscopic technique. RESULTS: The mean operative time was 93.5 min. There were no intra-operative complications and no conversion. Seroma was the most frequent complication (n=13, 27%). Only one (2%) had surgical wound infection. After a median follow-up of eight months (2-19), only one (2%) patient presented recurrence of DMRA and one (2%) subcutaneous tissue retraction/fibrosis. Forty-five (93.7%) patients reported being satisfied with outcome. CONCLUSION: The SCOLA technique is a safe, reproducible and effective alternative for patients with abdominal wall hernia associated with DMRA.

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