TY - JOUR
T1 - Abordagem laparoscópica subcutânea pré-aponeurótica (SCOLA) para reparo de hérnia ventral e diástese de reto abdominal
T2 - descrição técnica e resultados iniciais
AU - Claus, Christiano Marlo Paggi
AU - Malcher, Flavio
AU - Cavazzola, Leandro Totti
AU - Furtado, Marcelo
AU - Morrell, Alexander
AU - Azevedo, Mauricio
AU - Meirelles, Luciana Guimarães
AU - Santos, Heitor
AU - Garcia, Rodrigo
N1 - Publisher Copyright:
© 2018, Colegio Brasileiro de Cirurgia Digestiva. All rights reserved.
PY - 2018
Y1 - 2018
N2 - 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.
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.
KW - Diastasis, muscle
KW - HEADINGS-Hernia
KW - Laparoscopy
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U2 - 10.1590/0102-672020180001e1399
DO - 10.1590/0102-672020180001e1399
M3 - Article
C2 - 30539974
AN - SCOPUS:85058604711
SN - 0102-6720
VL - 31
SP - 1
EP - 5
JO - Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
JF - Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
IS - 4
M1 - e1399
ER -