“SCOLA”… The advanced treatment for Permanent cure of hernia

• KIMS Doctor DV Ramakrishna who successfully treating patients with this method

 Hyderabad, March 29,2021: KIMS Hospitals Kondapur doctors shows a permanent cure for a hernia patient with the advanced "SCOLA" therapy who is experiencing a relapse of the disease. The progress has been shown a permanent cure now and the patient who is suffering a lot with this disease got a big relief. Eminent doctor Dr DV Ramakrishna who supervised this treatment explained it.

Shankara, a 36-year-old resident of Chandanagar, Hyderabad, was admitted to KIMS Hospital with a severe umbilical hernia problem. He had previously been treated for this problem but it was recurring. After examining, KIMS hospital doctors decided that he was suffering from an umbilical hernia and should be treated with "Scola", which is far superior to both conventional open surgery and laparoscopic surgery.

Scola is a new technique that involves a mesh repair of Umbilical and other Midline hernia with the repair of diastasis recti. that is patients who have a widened area in between the six-pack muscles. Patients presenting with an umbilical hernia usually have diastasis recti. in such situations, isolated repair of hernia has a high rate of recurrence dr Rama Krishna explained. To avoid this, repair of Diastasis Recti along with midline Hernia and reinforcing with mesh has been the approach of choice. Before we had to do a technically challenging Repair either open or laparoscopic. Scola is a minimally invasive alternative to both the traditional open plication and an ergonomically favourable alternative to Laparoscopic Posterior Plication. It involves a Suprapubic 2 cms incision and two lateral 5 mm(0.5cm)incisions, which is cosmetically appealing. The surgery is done through these three ports in the subcutaneous plane (area below the skin but above the muscle). After dissection and repair of hernia anterior plication of the rectus sheath is done using a barbed suture. A large mesh is placed and sutured in place. ports are closed over drains.

Advantages of Scola
Patients who undergone Scola treatment will go home in one day and can resume normal activity. Post operational complications are minimal as there is no intra-abdominal entry. Recurrence rates have been negligible. So, Scola is a safe and more effective procedure than the traditional open or IPOM repair, said Dr Rama Krishna.  We have done 5 cases so far with very satisfactory results, he concluded.