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SubCutaneous OnLay endoscopic Approach (SCOLA) for midline ventral hernias associated with diastasis recti
C Claus1, L Cavazzola2, F Malcher3
1Jacques Perissat Institute, Positivo University, St. Desembargador Hugo Simas, 322, Curitiba , PR, 80520-250, Brazil. christiano.claus@gmail.com.
Summary
Minimally invasive surgery for diastasis recti, like the Subcutaneous OnLay endoscopic Approach (SCOLA), offers a standardized technique. This approach details steps for endoscopic pre-aponeurotic mesh positioning to improve surgical outcomes.
Area of Science:
- Abdominal Wall Surgery
- Minimally Invasive Techniques
- Surgical Anatomy
Background:
- Diastasis recti repair is evolving, with minimally invasive approaches gaining traction.
- Various endoscopic techniques are reported, necessitating standardization for reproducible results.
Purpose of the Study:
- To describe a standardized technique for minimally invasive diastasis recti repair using the Subcutaneous OnLay endoscopic Approach (SCOLA).
- To detail the procedural steps for endoscopic pre-aponeurotic mesh placement.
Main Methods:
- Standardized technique for SCOLA including patient positioning, trocar placement, and subcutaneous dissection.
- Detailed steps for pre-aponeurotic space dissection, diastasis recti plication, mesh fixation, and drain placement.
Main Results:
- The described technique allows for reproducible endoscopic pre-aponeurotic mesh positioning.
- Attention to patient selection and drain placement is crucial for reducing seroma rates.
Conclusions:
- Endoscopic pre-aponeurotic mesh repair for diastasis recti can be standardized for consistent outcomes.
- Minimizing complications like seroma requires careful patient selection and meticulous drain management.
