Please ensure Javascript is enabled for purposes of website accessibility
REVIEW PAPER
Is subcutaneous laparoscopic recti abdominis repair (SCOLA) a safe approach to repair diastasis of the rectus abdominis muscles (DMRA)? A brief review
,
 
 
 
More details
Hide details
1
Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy
 
2
Department of General Surgery, Carlo Urbani Hospital, Jesi, Ancona, Italy
 
 
Submission date: 2022-04-15
 
 
Final revision date: 2022-08-02
 
 
Acceptance date: 2022-08-08
 
 
Publication date: 2022-09-30
 
 
Medical Studies 2022;38(3):221-225
 
KEYWORDS
TOPICS
ABSTRACT
Diastasis of the rectus abdominis muscles is defined according to Beer’s classification: the distance between the straight abdominal muscles greater than 2.2 cm, measured 3 cm above the belly button with relaxed abdomen. The conditions in which it occurs most frequently are 12 months post-partum or in obese subjects who have suffered evident weight loss. We retrospectively evaluated PubMed databases, Embase, and the Cochrane Library by applying various combinations of the subject-related terms. The search terms identified with the medical subject heading (MeSH) were “diastasis of the rectus abdominis (DMRA), laparoscopic repair, subcutaneous laparoscopic recti abdominis repair”. The aim of the study was to describe laparoscopic techniques for the correction of combined ventral hernia with the plication of the diastasis of the rectus abdominis, muscle and to present the results.
REFERENCES (21)
1.
Beer GM, Schuster A, Seifert B, Manestar M, Mihic- Probst D, Weber SA. The normal width of the linea alba in nulliparous women. Clin Anat 2009; 22: 706-711.
 
2.
Claus CMP, Malcher F, Cavazzola LT, Furtado M, Mor- rell A, Azevedo M, Meirelles LG, Santos H, Garcia R. Subcutaneous onlay laparoscopic approach (SCOLA) for ventral hernia and rectus abdominis diastasis repair: technical description and initial results. Arq Bras Cir Dig 2018; 31: e1399.
 
3.
Brauman D. Diastasis recti: clinical anatomy. Plast Reconstr Surg 2008; 122: 1564-1569.
 
4.
Mommers EHH, Ponten JEH, Al Omar AK, de Vries Reilingh TS, Bouvy ND, Nienhuijs SW. The general surgeon’s perspective of rectus diastasis. A systematic review of treatment options. Surg Endosc 2017; 31: 4934-4949.
 
5.
Hickey F, Finch JG, Khanna A. A systematic review on the outcomes of correction of diastasis of the recti. Hernia 2011; 15: 607-614.
 
6.
Köckerling F, Botsinis MD, Rohde C, Reinpold W, Schug-Pass C. Endoscopic-assisted linea alba reconstruction: New technique for treatment of symptomatic umbilical, trocar, and/or epigastric hernias with concomitant rectus abdominis diastasis. Eur Surg 2017; 49: 71-75.
 
7.
Zukowski ML, Ash K, Spencer D, Malanoski M, Moore G. Endoscopic intracorporal abdominoplasty: a review of 85 cases. Plast Reconstr Surg 1998; 102: 516-527.
 
8.
Arroyo A, García P, Pérez F, Andreu J, Candela F, Calpe- na R. Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg 2001; 88: 1321-1323.
 
9.
Christoffersen MW, Helgstrand F, Rosenberg J, Kehlet H, Bisgaard T. Lower reoperation rate for recurrence after mesh versus sutured elective repair in small umbilical and epigastric hernias. A nationwide register study. World J Surg 2013; 37: 2548-2552.
 
10.
Juárez Muas DM. Preaponeurotic endoscopic repair (REPA) of diastasis recti associated or not to midline hernias. Surg Endosc 2019; 33: 1777-1782.
 
11.
Köhler G, Fischer I, Kaltenböck R, Schrittwieser R. Minimal invasive linea alba reconstruction for the treatment of umbilical and epigastric hernias with coexisting rectus abdominis diastasis. J Laparoendosc Adv Surg Tech A 2018; 28: 1223-1228.
 
12.
Dong CT, Sreeramoju P, Pechman DM, Weithorn D, Camacho D, Malcher F. SubCutaneous OnLay endoscopic Approach (SCOLA) mesh repair for small midline ventral hernias with diastasis recti: an initial US experience. Surg Endosc 2021; 35: 6449-6454.
 
13.
Sperstad JB, Tennfjord MK, Hilde G, Ellström-Engh M, Bø K. Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain. Br J Sports Med 2016; 50: 1092-1096.
 
14.
Köhler G, Luketina RR, Emmanuel K. Sutured repair of primary small umbilical and epigastric hernias: concomitant rectus diastasis is a significant risk factor for recurrence. World J Surg 2015; 39: 121-126.
 
15.
Daes J. Evolución de la reparación laparoscópica de las hernias ventrales y del sitio de la incisión. Rev Hispanoam Hernia 2016; 4: 83-85.
 
16.
Bellido Luque J, Bellido Luque A, Valdivia J, Suarez Gráu JM, Gomez Menchero J, García Moreno J, Guadalajara Jurado J. Totally endoscopic surgery on diastasis recti associated with midline hernias. The advantages of a minimally invasive approach. Prospective cohort study. Hernia 2015; 19: 493-501.
 
17.
Köckerling F, Botsinis MD, Rohde C, Reinpold W. Endoscopic-assisted linea alba reconstruction plus mesh augmentation for treatment of umbilical and/or epigastric hernias and rectus abdominis diastasis – early results. Front Surg 2016; 3: 27.
 
18.
Köckerling F, Botsinis MD, Rohde C, Reinpold W, SchugPass C. Endoscopic assisted linea alba reconstruction: New technique for treatment of symptomatic umbilical, trocar, and/or epigastric hernias with concomitant rectus abdominis diastasis. Eur Surg 2017; 49: 71-75.
 
19.
Schwarz J, Reinpold W, Bittner R. Endoscopic mini/less open sublay technique(EMILOS) – a new technique for ventral hernia repair. Langenbecks Arch Surg 2017; 402: 173-180.
 
20.
Belyansky I, Daes J, Radu VG, Balasubramanian R, Reza Zahiri H, Weltz AS, Sibia US, Park A, Novitsky Y. A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair. Surg Endosc 2018; 32: 1525-1532.
 
21.
Roth JS, Anthone GJ, Selzer DJ, et al. Prospective evaluation of poly-4-hydroxybutyrate mesh in CDC class I/high-risk ventral and incisional hernia repair: 18-month followup. Surg Endosc 2018; 32: 1929-1936.
 
eISSN:2300-6722
ISSN:1899-1874
Journals System - logo
Scroll to top