Evidence map›Paper›PMID 30539974›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2018

SUBCUTANEOUS ONLAY LAPAROSCOPIC APPROACH (SCOLA) FOR VENTRAL HERNIA AND RECTUS ABDOMINIS DIASTASIS REPAIR: TECHNICAL DESCRIPTION AND INITIAL RESULTS.

Christiano Marlo Paggi Claus, Flavio Malcher, Leandro Totti Cavazzola, Marcelo Furtado, Alexander Morrell, Mauricio Azevedo, Luciana Guimarães Meirelles, Heitor Santos, Rodrigo Garcia

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 10 pooled it
10.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 10 syntheses or guidelines pooled it, 113 citations in OpenAlex.

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  16. Abdominoplasty and rectus diastasis repair-a plastic surgeon's perspective.Hernia : the journal of hernias and abdominal wall surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 8 institutions in 2 countries.

Christiano Marlo Paggi ClausDepartment of Surgical Clinic and Mini Invasive Surgery - Jacques Perissat Institute, Positivo University, Curitiba, PR, Brazil.
Flavio MalcherCelebration Health Florida Hospital, Celebration, FL, USA.
Leandro Totti CavazzolaService of General Surgery, Hospital de Clínicas, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
Marcelo FurtadoService of General and Laparoscopic Surgery, Pitangueiras Hospital, Jundiaí, SP, Brazil.
Alexander MorrellService of General Surgery, Einstein Hospital, São Paulo, SP, Brazil.
Mauricio AzevedoService of General Surgery and Digestive System, Mandaqui Hospital, São Paulo, SP, Brazil.
Luciana Guimarães MeirellesService of General Surgery and Trauma, Santa Maria Health House, Barra Mansa, RJ, Brazil.
Heitor SantosDigestive Surgery Service, Americas Medical Services / Pro-Cardiac Hospital, Rio de Janeiro, RJ, Brazil.
Rodrigo GarciaDepartment of Digestive System Surgery, Municipal Public Server Hospital, São Paulo, SP, Brazil.
Hospital São Paulo · BRAdventHealth Celebration · USHospital do Servidor Público Municipal · BRHospital Pitangueiras · BRHospital Pró-Cardíaco · BRHospital Universitário de Santa Maria · BRUniversidade Federal do Rio Grande do Sul · BRUniversidade Positivo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiastasis 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.

aimTo 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.

methodSCOLA was applied in 48 patients to correct ventral hernia concomitant to plication of DMRA by pre-aponeurotic endoscopic technique.

resultsThe 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.

conclusionThe SCOLA technique is a safe, reproducible and effective alternative for patients with abdominal wall hernia associated with DMRA.

Indexed as

AdultDiastasis, MuscleFemaleHernia, VentralHerniorrhaphyHumansIntraoperative ComplicationsLaparoscopyMaleMiddle AgedOperative TimePostoperative ComplicationsRectus AbdominisReproducibility of ResultsSubcutaneous TissueTreatment Outcome

Identifiers

PMID30539974
PMCPMC6284377
OpenAlexW2905187585

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.