Systematic review of transversus abdominis release in complex abdominal wall reconstruction

Hernia ◽  
2018 ◽  
Vol 23 (1) ◽  
pp. 5-15 ◽  
Author(s):  
J. A. Wegdam ◽  
J. M. M. Thoolen ◽  
S. W. Nienhuijs ◽  
N. de Bouvy ◽  
T. S. de Vries Reilingh
Keyword(s):  
Systematic Review ◽  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Transversus Abdominis ◽  
Transversus Abdominis Release

Complex Abdominal Wall Reconstruction in Neutropenic Patients

2021 ◽  
pp. 000313482110110
Author(s):  
Kajmolli Agon ◽  
Smiley Abbas ◽  
McGuirk Matthew ◽  
Gachabayov Mahir ◽  
Bodin Roxana ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Abdominal Wall ◽  
Fatty Liver Disease ◽  
Abdominal Wall Reconstruction ◽  
Case Series ◽  
Transversus Abdominis ◽  
Site Infection ◽  
Transversus Abdominis Release ◽  
Nonalcoholic Fatty Liver ◽  
Neutropenic Patients

The aim of our study was to determine whether patients with neutropenia (absolute neutrophil count (ANC) ≤1,500 cells/µL) had higher rates of surgical site infection after elective abdominal wall reconstruction. This was a case series from a prospective complex abdominal wall reconstruction cohort describing the surgical outcomes of 4 neutropenic patients (ANC ≤1,500 cells/µL) within 48 hours of index operation. Median age was 55 years, 3 patients were female. All patients had liver cirrhosis as a comorbidity: 2 patients as a result of alcohol abuse and 2 patients secondary to cryptogenic and nonalcoholic fatty liver disease, respectively. All patients underwent a posterior component separation with transversus abdominis release and retro-rectus biologic mesh. None of the 4 patients developed a surgical site infection 90 days postoperatively. Complex abdominal wall reconstruction in neutropenic patients could be safe.

Transversus Abdominis Release for Abdominal Wall Reconstruction: Early Experience with a Novel Technique

2016 ◽  
Vol 223 (2) ◽  
pp. 271-278 ◽  
Author(s):  
Joshua S. Winder ◽  
Brittany J. Behar ◽  
Ryan M. Juza ◽  
John Potochny ◽  
Eric M. Pauli
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Early Experience ◽  
Transversus Abdominis ◽  
Transversus Abdominis Release ◽  
Novel Technique

Outcomes of redo-transversus abdominis release for abdominal wall reconstruction

Hernia ◽  
2021 ◽  
Author(s):  
K. C. Montelione ◽  
S. J. Zolin ◽  
A. Fafaj ◽  
J. D. Thomas ◽  
C. M. Horne ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Transversus Abdominis ◽  
Transversus Abdominis Release

scholarly journals Ventral hernia from routine repairs to abdominal wall reconstruction: our initial experience

2020 ◽  
Vol 7 (10) ◽  
pp. 3348
Author(s):  
Sheetal Ishwarappagol ◽  
Rohit Krishnappa
Keyword(s):  
Abdominal Wall ◽  
Ventral Hernia ◽  
Abdominal Wall Reconstruction ◽  
Tobacco Consumption ◽  
Transversus Abdominis ◽  
Abdominal Pressure ◽  
Postural Stabilization ◽  
History Of ◽  
And Function ◽  
Ventral Hernias

Background: Loss of continuity of abdominal wall significantly affects the functions of protection of viscera, postural stabilization, and maintenance of intra-abdominal pressure. The newer understanding of abdominal wall reconstruction (AWR) aims at restoring abdominal wall anatomy and function, instead of simply patching the defect. We want to showcase the changing trends and results in hernia repair at a Medical Institution.Methods: This is an observational retrospective study conducted in RRMCH, Bengaluru from July 2018-2019 including all patients with ventral hernia undergoing the specified hernia repairs.Results: A total of 54 patients with ventral hernias undergoing routine hernia repairs/AWR surgeries were retrospectively analysed. The overall mean age was 46.62±12.44 year. Majority subjects were females (n=37; 68.5%), and overweight (Mean BMI=28.07±3.01/m2). 14 patients (25.92%), all males, had history of tobacco consumption. There were 38 (70.37%) primary ventral hernias and 7 recurrent hernias. Overall mean defect size was 10.2±0.4 cm. Most frequently performed was open retro rectus Hernioplasty (n=18; 33.33%), followed by open Preperitoneal Hernioplasty (n=17; 31.48%), laparoscopic intraperitoneal onlay mesh (IPOM) (n=16; 29.62%) and open transversus abdominis release (TAR) (n=3; 5.5%). On statistical analysis, it was found that Open repairs had higher post-operative pain (p=0.0005), longer hospitalization (p=0.0002) and higher incidence of surgical site events (p=0.0134) when compared to Laparoscopic repairs.Conclusion: As known already, minimally invasive techniques of hernia surgeries are shown to have acceptable outcomes when compared to radical open surgeries. Newer techniques of AWR are being employed to routine cases in larger numbers, and not just for complex reconstruction, at most centres with acceptable outcomes. 

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