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
Abstract :
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.
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.
