Wound Morbidity in Abdominal Wall Reconstruction Can Be Reduced Using Transversus Abdominis Release Compared to Anterior Component Separation Technique

2016 ◽  
Vol 223 (4) ◽  
pp. e116-e117
Author(s):  
Guido Woeste ◽  
Alexander Reinisch ◽  
Ursula Pession ◽  
Wolf O. Bechstein
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Component Separation ◽  
Transversus Abdominis ◽  
Separation Technique ◽  
Transversus Abdominis Release ◽  
Component Separation Technique ◽  
Anterior Component Separation

Twelve years of component separation technique in abdominal wall reconstruction

Surgery ◽  
2019 ◽  
Vol 166 (4) ◽  
pp. 435-444 ◽  
Author(s):  
Sean R. Maloney ◽  
Kathryn A. Schlosser ◽  
Tanushree Prasad ◽  
Kevin R. Kasten ◽  
Keith S. Gersin ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Component Separation ◽  
Separation Technique ◽  
Component Separation Technique

scholarly journals Robotic hernia repair

Der Chirurg ◽  
2021 ◽  
Author(s):  
Ulrich A. Dietz ◽  
O. Yusef Kudsi ◽  
Miguel Garcia-Ureña ◽  
Johannes Baur ◽  
Michaela Ramser ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Component Separation ◽  
Transversus Abdominis ◽  
Nerve Sparing ◽  
Complication Rates ◽  
Robotic Hernia Repair ◽  
Lower Complication ◽  
Anterior Component Separation ◽  
Abdominal Reconstruction

AbstractThe principle of targeted separation or weakening of individual components of the abdominal wall to relieve tension in the median line during major abdominal reconstruction has been known for over 30 years as anterior component separation (aCS) and is an established procedure. In search of alternatives with lower complication rates, posterior component separation (pCS) was developed; transversus abdominis release (TAR) is a nerve-sparing modification of pCS. With the ergonomic resources of robotics (e.g., angled instruments), TAR can be performed in a minimally invasive manner (r-TAR): hernia gaps of up to 14 cm can be closed and a large extraperitoneal mesh implanted. In this video article, the treatment of large incisional hernias using the r‑TAR technique is presented. Exemplary results of a cohort study in 13 consecutive patients are presented. The procedure is challenging, but our own results—as well as reports from the literature—are encouraging. The r‑TAR is becoming the pinnacle procedure for abdominal wall reconstruction.

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