SCOLA Mesh Repair for Umbilical Hernia

The SUBCUTANEOUS ONLAY LAPAROSCOPIC APPROACH (SCOLA) technique combines sub-cutaneous laparoscopic abdominal hernia repair with concurrent diastasis recti (DR) plication and onlay mesh fixation. SCOLA addresses the limitations associated with other hernia repair techniques, being minimally invasive, ergonomically favourable, utilizing an onlay mesh to reduce recurrence rates, with low risk of bowel injury or obstruction. Moreover, SCOLA delivers excellent aesthetic outcomes for patients not in need of excess skin resection. However, it has its post-operative complications like seroma formation, hematoma, surgical site infections, and recurrence.SCOLA technique proves a safe and effective option when applied to non-obese individuals without excess skin, averse to transverse abdominal scars, and with small umbilical or midline hernias, particularly when associated with DR.