{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:08:30Z","timestamp":1779379710973,"version":"3.53.1"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>There is a paucity of data on the use of the subcutaneous onlay laparoscopic approach (SCOLA) for management of recurrent incisional hernia after transversus abdominis release (TAR), particularly in patients with higher BMI and a hostile abdomen. Our patient is a 60-year-old woman with obesity and a complex surgical history resulting in a large M2\u20134\u00a0W3 R1 incisional hernia underwent open TAR and subsequently developed a symptomatic, bowel-containing superior recurrence. A robotic SCOLA approach was selected to avoid relaparotomy in a hostile abdomen. The defect was closed with a permanent barbed suture, and a 20-cm-wide lightweight polypropylene mesh was placed in an onlay position. This case report is the first to describe use of SCOLA to treat such a recurrence in a comorbid patient with a high BMI and a hostile abdomen. SCOLA is a viable option and should be considered in this unique patient population.<\/jats:p>","DOI":"10.1093\/jscr\/rjag363","type":"journal-article","created":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T21:08:42Z","timestamp":1777842522000},"source":"Crossref","is-referenced-by-count":0,"title":["Robotic assisted subcutaneous onlay endoscopic approach (SCOLA) repair of superior recurrence after open transversus abdominis muscle release: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4806-9301","authenticated-orcid":false,"given":"David","family":"Roberts","sequence":"first","affiliation":[{"name":"Department of Surgery, Stony Brook University Hospital , Stony Brook, NY 11794 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5662-294X","authenticated-orcid":false,"given":"Artem","family":"Shmelev","sequence":"additional","affiliation":[{"name":"Department of Surgery, Stony Brook University Hospital , Stony Brook, NY 11794 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"2026052111502509300_ref1","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1007\/s10029-014-1300-2","article-title":"Totally endoscopic surgery on diastasis recti associated withmidline hernias. The advantages of a minimally invasive approach","volume":"19","author":"Bellido Luque","year":"2015","journal-title":"Prospective cohort study Hernia"},{"key":"2026052111502509300_ref2","doi-asserted-by":"publisher","first-page":"1777","DOI":"10.1007\/s00464-018-6450-3","article-title":"Preaponeurotic endoscopic repair (REPA) of diastasis recti associated or not to midline hernias","volume":"33","author":"Ju\u00e1rez Muas","year":"2019","journal-title":"Surg Endosc"},{"key":"2026052111502509300_ref3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1590\/0102-672020180001e1399","article-title":"Subcutaneous onlay laparoscopic approach (SCOLA) for ventral hernia and rectus abdominis diastasis repair: technical description and initial results","volume":"31","author":"Claus","year":"2018","journal-title":"Arq Bras Cir Dig"},{"key":"2026052111502509300_ref4","doi-asserted-by":"publisher","first-page":"37","DOI":"10.18004\/sopaci.agosto.37-40","article-title":"Endoscopic approach of rectus diastasis and abdominal midline defects","volume":"41","author":"Cuenca","year":"2017","journal-title":"Cir Parag"},{"key":"2026052111502509300_ref5","doi-asserted-by":"publisher","first-page":"6449","DOI":"10.1007\/s00464-020-08134-x","article-title":"SubCutaneous OnLay endoscopic approach (SCOLA) mesh repair for small midline ventral hernias with diastasis recti: an initial US experience","volume":"35","author":"Dong","year":"2021","journal-title":"Surg Endosc"},{"key":"2026052111502509300_ref6","doi-asserted-by":"publisher","first-page":"26938","DOI":"10.1038\/s41598-024-78398-z","article-title":"An emerging, less explored subcutaneous onlay laparoscopic approach for ventral hernias with concomitant diastasis recti","volume":"14","author":"Mehta","year":"2024","journal-title":"Sci Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/5\/rjag363\/68359796\/rjag363.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/5\/rjag363\/68359796\/rjag363.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T15:50:32Z","timestamp":1779378632000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag363\/8690011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,1]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag363","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2026,5,1]]},"article-number":"rjag363"}}