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 Lopes; Morrell, Alexander Charles; Azevedo, Maurício Andrade; Meirelles, Luciana Guimarães; Santos, Heitor Marcio Gavião; Garcia, Rodrigo Biscuola

doi:10.1590/0102-672020180001e1399

Cited by 75 publications

(36 citation statements)

References 27 publications

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“…The literature is limited. Six studies were identified: three prospective cohort and three retrospective studies.…”

Section: Resultsmentioning

confidence: 99%

“…It was concluded that endoscopic repair is feasible, with a low number of wound impairments. One study 35 reported one recurrence of the diastasis, whereas no recurrences of either the umbilical hernia or the rectus diastasis were reported by the others 27,34 .…”

Section: Quality Of Evidence: Strength Of Recommendation: Weakmentioning

confidence: 95%

“…Follow-up was 20 months, 8 months and 1 year respectively. The main complication was seroma, which occurred in up to 27% of the patients 35 . It was concluded that endoscopic repair is feasible, with a low number of wound impairments.…”

Section: Quality Of Evidence: Strength Of Recommendation: Weakmentioning

confidence: 99%

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EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances

et al. 2020

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Background Rare locations of hernias, as well as primary ventral hernias under certain circumstances (cirrhosis, dialysis, rectus diastasis, subsequent pregnancy), might be technically challenging. The aim was to identify situations where the treatment strategy might deviate from routine management. Methods The guideline group consisted of surgeons from the European and Americas Hernia Societies. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used in formulating the recommendations. The Scottish Intercollegiate Guidelines Network (SIGN) critical appraisal checklists were used to evaluate the quality of full‐text papers. A systematic literature search was performed on 1 May 2018 and updated 1 February 2019. The Appraisal of Guidelines for Research and Evaluation (AGREE) instrument was followed. Results Literature was limited in quantity and quality. A majority of the recommendations were graded as weak, based on low quality of evidence. In patients with cirrhosis or on dialysis, a preperitoneal mesh repair is suggested. Subsequent pregnancy is a risk factor for recurrence. Repair should be postponed until after the last pregnancy. For patients with a concomitant rectus diastasis or those with a Spigelian or lumbar hernia, no recommendation could be made for treatment strategy owing to lack of evidence. Conclusion This is the first European and American guideline on the treatment of umbilical and epigastric hernias in patients with special conditions, including Spigelian and lumbar hernias. All recommendations were weak owing to a lack of evidence. Further studies are needed on patients with rectus diastasis, Spigelian and lumbar hernias.

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“…The literature is limited. Six studies were identified: three prospective cohort and three retrospective studies.…”

Section: Resultsmentioning

confidence: 99%

Section: Quality Of Evidence: Strength Of Recommendation: Weakmentioning

confidence: 95%

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EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances

et al. 2020

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“…Plication techniques with running sutures and mesh reinforcement are applied most frequently for DRAM repair. Most studies have described the use of mesh reinforcement .…”

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confidence: 99%

Laparoscopic diastasis recti repair and umbilicus reconstruction – a video vignette

Coratti¹,

Barbato

Maggioni

et al. 2020

Colorectal Disease

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“…Surface electromyography (SEMG), also called kinetic electromyography due to its ability to evaluate muscle activation during movement, is a commonly used instrument in training and rehabilitation analysis of the core muscles and for patients with low back pain 2,14,17 . In a review of the literature, 87 studies involving SEMG and abdominal-wall muscles were found between 1950 and 2008 15 .…”

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confidence: 99%

What is the best method to assess the abdominal wall? Restoring strength does not mean functional recovery

Bigolin

Jost

Franceschi

et al. 2020

ABCD, arq. bras. cir. dig.

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ABSTRACT Background: Restoring the contractile function to the abdominal wall is a major goal in hernia repair. However, the core understanding is required when choosing the method for outcome assessment. Aim: To assess the role of the anterolateral abdominal muscles on abdominal wall function in patients undergoing hernia repair by analysis of correlation between the surface electromyography activation signal of these muscles and torque produced during validated strength tests. Methods: Activation of the rectus abdominis, external oblique, and internal oblique/transverse abdominis muscles was evaluated by surface electromyography during two validated tests: Step: 1-A, isometric contraction in dorsal decubitus; 1-B, isometric contraction in lateral decubitus; 2-A, isokinetic Biodex testing; and 2-B, isometric Biodex testing. Results: Twenty healthy volunteers were evaluated. The linear correlation coefficient between root mean square/peak data obtained from surface electromyography signal analysis for each muscle and the peak torque variable was always <0.2 and statistically non-significant (p<0.05). The agonist/antagonist ratio showed a positive, significant, weak-to-moderate correlation in the external oblique (Peak, p=0.027; root mean square, 0.564). Surface electromyography results correlated positively among different abdominal contraction protocols, as well as with a daily physical activity questionnaire. Conclusions: There was no correlation between surface electromyography examination of the anterolateral abdominal wall muscles and torque measured by a validated instrument, except in a variable that does not directly represent torque generation.

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Subcutaneous Onlay Laparoscopic Approach (Scola) for Ventral Hernia and Rectus Abdominis Diastasis Repair: Technical Description and Initial Results

Cited by 75 publications

References 27 publications

EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances

EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances

Laparoscopic diastasis recti repair and umbilicus reconstruction – a video vignette

What is the best method to assess the abdominal wall? Restoring strength does not mean functional recovery

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