A Prospective Observational Study on Scola for Ventral Hernia with Diastasis Recti – Our Experience at a Tertiary Care Hospital


Authors : Dr. Neha Sharma; Dr. Iqbal Saleem Mir; Dr. Abdul Hamid Samoon; Dr. Arshad Rashid; Dr. Refut Ara; Dr.Rukaya Akhtar; Dr. Shiwani thakur; Dr. Syed Haris Masood; Dr. Mohd Danish Bin Lateef

Volume/Issue : Volume 8 - 2023, Issue 2 - February

Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/41uYREH

DOI : https://doi.org/10.5281/zenodo.7684652

Diastasis recti (DR) is often found in patients presenting with umbilical and epigastric hernia. There are higher rates of recurrence in these patients after an isolated hernia repair. We present our initial experience at tertiary care hospital in J&K ( SMHS, Srinagar ) with a SubCutaneous OnLay endoscopic Approach (SCOLA) to address these concurrent pathologies in a single hybrid procedure.  Methods Between August 2020 and December 2022, a prospective observational study was conducted on 18 patients who underwent SCOLA procedure in GMC Srinagar. Subcutaneous dissection was carried out between suprapubic region superiorly till the xiphoid process and laterally till the linea semilunaris. Hernia contents were reduced and defects were incorporated into anterior diastasis recti plication, with running barbed suture. An Onlay mesh was placed to cover the dissected space, and subcutaneous drains were placed.  Results Of 18 patients, 14 (71 %) were female and 4 (29 %) were male . The mean age was 47 years , mean BMI was 28. 82 kg/m2 . The mean of hernia defect size came out to be 2 cm . Mean operative time was 98.66 mins. The mean follow-up time was approximately two months . Five (27. 78 %) patients developed seroma, and two (11.11 %) patients had hernia recurrence.  Conclusions SCOLA technique is safe and effective approach for patients with small midline ventral hernias associated with Diastasis recti. In our study we found that higher rates of post-operative complication were there in patients with higher BMI, which shows that patient selection and pre-operative counselling is essential for better outcomes.

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