SUBCUTANEOUS ONLAY LAPAROSCOPIC APPROACH (SCOLA) FOR VENTRAL HERNIA AND RECTUS ABDOMINIS DIASTASIS REPAIR: TECHNICAL DESCRIPTION AND INITIAL RESULTS
| Autor: | Christiano Marlo Paggi Claus, Alexander Charles Morrell, Luciana Guimarães Meirelles, Heitor Marcio Gavião Santos, Leandro Totti Cavazzola, Rodrigo Garcia, Flavio Malcher, Mauricio Azevedo, Marcelo Lopes Furtado |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Hernia Hérnia RD1-811 Diastasis muscle Operative Time Rectus Abdominis RC799-869 030230 surgery Original Article - Technique Abdominal wall Laparoscopia 03 medical and health sciences 0302 clinical medicine Postoperative Complications Subcutaneous Tissue medicine Humans Laparoscopy Intraoperative Complications Herniorrhaphy medicine.diagnostic_test business.industry Reproducibility of Results Surgical wound General Medicine Middle Aged Diseases of the digestive system. Gastroenterology medicine.disease Hernia Ventral Diástase muscular Surgery medicine.anatomical_structure Treatment Outcome 030220 oncology & carcinogenesis Seroma Diastasis Female business Complication Subcutaneous tissue |
| Zdroj: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva, Vol 31, Iss 4 (2018) ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.31 n.4 2018 ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) Colégio Brasileiro de Cirurgia Digestiva (CBCD) instacron:CBCD Arquivos Brasileiros de Cirurgia Digestiva : ABCD |
| ISSN: | 0102-6720 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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