ArticleEuropean surgery : ACA : Acta chirurgica Austriaca2017
Endoscopic-assisted linea alba reconstruction: New technique for treatment of symptomatic umbilical, trocar, and/or epigastric hernias with concomitant rectus abdominis diastasis.
Article in European surgery : ACA : Acta chirurgica Austriaca, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 8 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 8 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- A systematic review and meta-analysis of subcutaneous onlay laparoscopic (SCOLA) approach for diastasis recti with or without mesh reinforcement.Langenbeck's archives of surgery · 2026Pooled it
- Subcutaneous versus retromuscular approach for the minimally invasive surgical treatment of rectus diastasis with concomitant ventral hernia: systematic review and meta-analysis of current techniques.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- The Italian national consensus conference on the diagnosis and treatment of Rectus Abdominis diastasis in Post-gravidic Women.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Short‑term outcomes of minimally invasive endoscopic onlay repair for diastasis recti and ventral hernia repair: a systematic review and meta‑analysis.Surgical endoscopy · 2025Pooled it
- Open Versus Laparoscopic Surgical Management of Rectus Diastasis: Systematic Review and Pooled Analysis of Complications and Recurrence Rates.World journal of surgery · 2022Pooled it
- Endoscopic onlay repair for ventral hernia and rectus abdominis diastasis repair: Why so many different names for the same procedure? A qualitative systematic review.Surgical endoscopy · 2021Pooled it
- Closing the gap: evidence-based surgical treatment of rectus diastasis associated with abdominal wall hernias.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances.BJS open · 2020Pooled it
- Subcutaneous onlay laparoscopic approach (SCOLA) for ventral hernia with concomitant diastasis recti: a single-center experience.Updates in surgery · 2026Article
- An emerging, less explored Subcutaneous onlay laparoscopic approach for ventral hernias with concomitant diastasis recti.Scientific reports · 2024Observational
- Laparoscopic retromuscular hernia repair (LaHRR): a case-series of 17 patients treated with a novel technique for laparoscopic ventral hernia and diastasis repair.Surgical endoscopy · 2024Article
- Management of diastasis recti during ventral hernia repair: an analysis of the abdominal core health quality collaborative.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
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- Preaponeurotic endoscopic repair (REPA) of diastasis recti: a single surgeon's experience.Surgical endoscopy · 2022Article
- SubCutaneous OnLay endoscopic Approach (SCOLA) mesh repair for small midline ventral hernias with diastasis recti: An initial US experience.Surgical endoscopy · 2021Article
- Management of diastasis of the rectus abdominis muscles: recommendations for swedish national guidelines.Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society · 2021Article
- SubCutaneous OnLay endoscopic Approach (SCOLA) for midline ventral hernias associated with diastasis recti.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Comparison of outcomes in rectus abdominis diastasis repair-which data do we need in a hernia registry?Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- [Abdominal wall hernias part 2 : Operative treatment techniques].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- Comment to: TESLAR for treatment of umbilical/paraumbilical hernia and rectus abdominus diastasis is associated with unacceptable persistent seroma formation. Should subcutaneous endoscopic mesh placement be abandoned?Hernia : the journal of hernias and abdominal wall surgery · 2020Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with symptomatic umbilical, trocar, and/or epigastric hernias and concomitant rectus abdominis diastasis represent a growing clinical problem. The optimal management of this complex hernia situation is the subject of debate in the literature. This paper reports the early results of an innovative surgical technique aimed at managing this hernia situation.
methodsEndoscopic-assisted linea alba reconstruction (ELAR) with mesh augmentation is a surgical technique long known in the literature for its good outcome for incisional hernia repair (myofascial release, overlapping herniorrhaphy, Gibson's operation, shoelace repair, anterior rectus sheath repair, dynamic patch plasty) via a small access route. The early results for 140 patients are presented here.
resultsTwo patients (1.4%) developed postoperative complications requiring redo surgery. These were two cases of diffuse secondary bleeding without an identifiable bleeding source, in one patient with liver cirrhosis and portal hypertension and in another patient receiving treatment with platelet aggregation inhibitors. All other complications were successively managed with conservative treatment. After 1 year, two of 30 patients reported occasional pain, including pain at rest in one patient.
conclusionThe ELAR technique with mesh augmentation is an innovative, minimally invasive surgical procedure for treatment of patients with a complex abdominal wall hernia comprising symptomatic umbilical, trocar, and/or epigastric hernias with concomitant rectus abdominis diastasis.
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