SubCutaneous OnLay endoscopic Approach (SCOLA) for midline ventral hernias associated with diastasis recti

Claus, Christiano Marlo Paggi; Cavazzola, Leandro Totti; Malcher, Flavio

doi:10.1007/s10029-021-02465-x

Cited by 9 publications

(3 citation statements)

References 21 publications

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“…It carries with it a higher seroma rate as compared to other techniques. [ 22 ] Our experience with the technique is limited, as we prefer to place the mesh in retromuscular plane. MILOS/eMILOS approach described by Schwarz et al .…”

Section: Discussionmentioning

confidence: 99%

Analysis of ‘enhanced-view totally extra-peritoneal’ (eTEP) approach for ventral hernia: Early results

Mishra¹,

Jabbal²,

Nar³

et al. 2022

Journal of Minimal Access Surgery

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Introduction: Laparoscopic ventral hernia repair is undergoing a paradigm shift with the introduction of numerous new techniques to improve the outcomes. Enhanced-view totally extra-peritoneal (eTEP) is a novel approach for the repair of ventral herniae introduced by Belyansky et al. The key innovation lies in placing the mesh in a large retrorectus–pre-peritoneal space contrary to the widely practiced intra-peritoneal placement. This approach can be easily coupled with a component separation in the form of transversus abdominis release (TAR) for large herniae. We conducted a midterm analysis of ‘eTEP’ approach to ventral hernia at a high-volume tertiary care centre and present our results of over 3 years of employing this technique. Methodology: A retrospective study of 150 cases of ventral hernia repaired using eTEP approach from January 2018 to February 2021 at a tertiary care centre by a team of three surgeons. The procedures were performed by a single team of three members headed by the first author. Results: Out of total 150 cases, incisional hernia occurred in 73 cases (48.7%), primary hernia occurred in 48 cases (32%) and recurrent hernia in 29 cases (19.3%). Although the majority of incisional (87.7%) and recurrent (79.3%) ventral hernias occurred in female, the incidence of primary ventral hernia was equal at 24 cases in both genders. The majority of the cases (80.7%) underwent eTEP RS procedure, and the rest were W3 hernias, which were managed by including a component separation in the form of eTEP TAR. The operating time for eTEP TAR (222.24 min ± 32.56) compared to eTEP RS (124.33 ± 23.68) was significantly longer. The mean length of stay was significantly shorter for primary hernias (3.75 days ± 1.62) compared to recurrent (5.21 days ± 2.51) and incisional hernias (4.36 days ± 2.19) (F = 4.376) (P = 0.014). The peri-operative period was uneventful in majority of the cases. We experienced a seroma rate of 5.8% in our series. At follow-up of 1 year, 3.3% of patients complained of discomfort/bulge in the upper abdomen. There were no other surgical site occurrences (SSO) in the form infection, posterior rectus sheath disruption and skin necrosis. We observed no recurrences till date with a minimum follow-up of 1 year. Conclusion: eTEP approach to ventral hernia is a promising abdominal wall reconstruction technique. It is safe and offers good functional outcomes with restoration of abdominal wall dynamics. It is a reproducible and safe technique for tackling various types of ventral hernia. It is specifically useful in managing unusual lateral hernias, incisional and recurrent hernias with ease.

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Section: Discussionmentioning

confidence: 99%

Analysis of ‘enhanced-view totally extra-peritoneal’ (eTEP) approach for ventral hernia: Early results

Mishra¹,

Jabbal²,

Nar³

et al. 2022

Journal of Minimal Access Surgery

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“…Several recent studies have reported minimally invasive surgical techniques for DRA, including the Venetian blind technique, 1 intracorporeal suture and underlay mesh repair, SubCutaneous OnLay endoscopic Approach (SCOLA), 7 pre-aponeurotic endoscopic repair (REPA), 8 the Trentino Hernia Team (THT) technique, 9 suturing the rectus sheath with a linear stapler, and placing retrorectus mesh. However, the long-term outcomes of these techniques are unknown, and it is unclear which is the best procedure for DRA repair.…”

Section: Discussionmentioning

confidence: 99%

Post-Partum Diastasis Recti Abdominis Treatment Using the Extended-View Totally Extraperitoneal Approach, Rives-Stoppa Technique, and Transversus Abdominis Release Procedure

Kinoshita¹,

Nagahisa²,

Kawamoto³

2022

CRSLS

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“…The rectus abdominis muscles are directly in reach of the surgeon for repair through the incision, which is commonly performed along the midline of the abdomen as compared to laparoscopic surgery, where there are some small incisions through which this whole procedure is performed. The surgery site is viewed with the help of a laparoscope and other specialized instruments, which are required to be placed through other incisions for closing rectus diastasis [24][25][26][27].…”

Section: Rectus Diastasismentioning

confidence: 99%

Comparative Analysis of Laparoscopic Versus Open Procedures in Specific General Surgical Interventions

Patil,

Gharde,

Reddy

et al. 2024

Cureus

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Laparoscopic and open surgeries are two distinct surgical approaches with significantly different procedures and outcomes. Minimally invasive surgery, also known as laparoscopic surgery, utilizes small incisions and specialized instruments like the laparoscope to perform procedures. This contrasts with open surgery, which requires larger incisions to directly access the surgical site. Open surgery was the preferred approach for any invasive procedure until the introduction of new technological advances in the form of laparoscopy. While laparoscopy is still evolving, preliminary results demonstrate promise for various operations. Open surgery provides the healthcare professional with more liberty in the form of increased visualization, but it also increases tissue damage and hospital stays. Laparoscopic and open procedures are both valuable surgical methods with advantages and disadvantages. While open surgery is favored for difficult patients, laparoscopic surgery offers a quicker recovery and fewer scars. The choice between the two approaches depends on the patient's condition, surgical demands, and the surgeon's skills. As these methods develop, they become increasingly important for offering safe and efficient surgical treatments across a range of medical specialties.

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SubCutaneous OnLay endoscopic Approach (SCOLA) for midline ventral hernias associated with diastasis recti

Cited by 9 publications

References 21 publications

Analysis of ‘enhanced-view totally extra-peritoneal’ (eTEP) approach for ventral hernia: Early results

Analysis of ‘enhanced-view totally extra-peritoneal’ (eTEP) approach for ventral hernia: Early results

Post-Partum Diastasis Recti Abdominis Treatment Using the Extended-View Totally Extraperitoneal Approach, Rives-Stoppa Technique, and Transversus Abdominis Release Procedure

Comparative Analysis of Laparoscopic Versus Open Procedures in Specific General Surgical Interventions

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