Department of Surgery, Shri M P Shah Government Medical College, Jamnagar, Gujarat, 361008, India.
Department of Surgery, Smt B K Shah Medical Institute and Research Center, Waghodia Road, Waghodia, Vadodara, Gujarat, India.
Sci Rep. 2024 Nov 6;14(1):26938. doi: 10.1038/s41598-024-78398-z.
Ventral Hernia (VH) is a common issue in patients with Diastasis Recti (DR). VH with concomitant DR presents a challenging scenario for surgical repair due to complexity of abdominal wall defects. Traditional open surgical procedure is associated with prolonged discomfort and poor cosmesis and resultant patients' unacceptability. Minimal access surgery such as Sub Cutaneous Onlay Laparoscopic Approach (SCOLA), offers innovative solution in addressing both hernia defects and DR comprehensively and circumvent drawbacks of open surgery. In this prospective observational study, 33 patients with VH and DR underwent SCOLA in a tertiary care hospital in Jamnagar, India over a period of 15 months. Reconstruction of abdominal wall was done by suturing hernia defect, plication of DR and onlay polypropylene mesh augmentation by using this technique. No recurrence was detected at follow up from 4 to 18 month. Overall patient satisfaction rate was 90.9%. We conclude that, the SCOLA is a promising advancement in the treatment of patients of VH with DR with many benefits.
腹壁切口疝（VH）是腹直肌分离（DR）患者的常见问题。由于腹壁缺损的复杂性，VH 合并 DR 给手术修复带来了挑战。传统的开放式手术由于术后舒适度差、美容效果差以及患者难以接受等原因而受到限制。微创外科技术如皮下补片腹腔镜修补术（SCOLA）为解决疝缺损和 DR 提供了创新的解决方案，避免了开放式手术的缺点。在这项前瞻性观察研究中，印度贾姆纳格尔的一家三级保健医院在 15 个月的时间里对 33 例 VH 和 DR 患者进行了 SCOLA。通过使用该技术缝合疝缺损、DR 折叠和聚丙烯补片加强，重建了腹壁。在 4 至 18 个月的随访中未发现复发。总体患者满意度为 90.9%。我们得出结论，SCOLA 是治疗 VH 合并 DR 患者的一种有前途的方法，具有许多优点。
