{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:08:06Z","timestamp":1791976086825,"version":"4.4.0"},"reference-count":57,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite advances in hernia repair techniques, high recurrence rates remain a major challenge; studies report rates as high as 31.2% when DR is not addressed. Diastasis recti (DR) raises the risk of hernia recurrence after midline ventral hernia repair. About 45% of patients with umbilical or epigastric hernias also present with DR. The subcutaneous onlay laparoscopic approach (SCOLA) is a minimally invasive surgical technique that provides simultaneous treatment of hernia and DR by plicating the separated muscles and reinforcing them with an onlay mesh.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the SCOLA technique as a safe, feasible, and effective approach for ventral hernia repair with concomitant diastasis recti. Specifically, we hypothesize that SCOLA is associated with acceptable 30-day morbidity, high patient satisfaction, and low early recurrence rates in this patient population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In our study, we prospectively enrolled 12 consecutive patients in whom SCOLA repair was the procedure of choice for primary ventral hernia with diastasis recti at a single Omani center (Ibra Hospital, North Sharqiyah, Ministry of Health) from September 2024 to April 2025. The mean age was 40.2\u2009\u00b1\u200910.0\u00a0years. The mean BMI was 30.64\u2009\u00b1\u20093.41\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . The primary outcome was 30-day morbidity, classified by the Clavien-Dindo classification. Secondary outcomes were patient satisfaction and recurrence during follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean operative time was 139.6\u2009\u00b1\u200936.7\u00a0min with minimal blood loss. Most patients had umbilical hernias (11\/12, 91.7%) and W3 diastasis recti (12\/12, 100%). Postoperative seroma occurred in 3\/12 patients (25%, 95% CI 5\u201357%). All were Clavien-Dindo Grade I and managed conservatively. There were no infections, skin necrosis, or mortality. Mean patient satisfaction was 9.25\u2009\u00b1\u20091.48\/10. One recurrence (1\/12, 8.3%, 95% CI 0.2\u201338.5%) occurred at 5\u00a0months post-operatively, within the study follow-up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SCOLA appears safe and feasible for simultaneous ventral hernia and DR repair in selected patients, with acceptable early morbidity, high satisfaction, and low early recurrence. The small sample size, single-center methodology, and short follow-up period pose notable constraints on the strength and validity of the conclusions that can be drawn.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s13304-026-02708-5","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T13:16:28Z","timestamp":1787922988000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Subcutaneous onlay laparoscopic approach (SCOLA) for ventral hernia with concomitant diastasis recti: a single-center experience"],"prefix":"10.1007","author":[{"given":"Hamed Humayid","family":"Al-Aamri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hosam Mohamed","family":"Elghadban","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"2708_CR1","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1002\/ca.20836","volume":"22","author":"GM Beer","year":"2009","unstructured":"Beer GM, Schuster A, Seifert B, Manestar M, Mihic-Probst D, Weber SA (2009) The normal width of the linea alba in nulliparous women. 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