scholarly journals Repair of massive inguinal hernia with loss of abdominal domain using laparoscopic component separation technique

2013 ◽  
Vol 2013 (3) ◽  
pp. rjt008-rjt008 ◽  
Author(s):  
A. Hamad ◽  
K. Marimuthu ◽  
B. Mothe ◽  
M. Hanafy
Keyword(s):  
Inguinal Hernia ◽  
Component Separation ◽  
Separation Technique ◽  
Component Separation Technique

scholarly journals Giant Inguinoscrotal Hernia: Single-Stage Repair Using Posterior Component Separation Technique and Transversus Abdominis Release

2020 ◽  
pp. 1-6
Author(s):  
Raffaele Porfidia ◽  
Simona Grimaldi
Keyword(s):  
Inguinal Hernia ◽  
Single Stage ◽  
Component Separation ◽  
Transversus Abdominis ◽  
Separation Technique ◽  
Transversus Abdominis Release ◽  
Posterior Component Separation ◽  
Inguinoscrotal Hernia ◽  
Component Separation Technique ◽  
Giant Inguinoscrotal Hernia

Giant inguinal hernia is one of the most unusual and significantly challenging in terms of surgical management. It is defined as an inguinal hernia that extends below the midpoint of inner thigh when the patient is in standing position. The physiological changes associated with the loss of domain can pose a risk for increased complications during surgery and the post-operative period. There is no standard surgical procedure for the treatment of this unusual and challenging type of groin hernia. Various surgical techniques have been reported in previous publications. We present a case of a giant right inguinoscrotal hernia; after CT examination, spirometry, blood gas analysis, echocardiography and anesthetic evaluation was treated with a single-stage repair using posterior component separation technique and transversus abdominis release. Keywords: Component separation; Giant Inguinal hernia; Inguinoscrotal hernia; Transversus Abdominis Release

scholarly journals Prospective study of midline abdominal incisional hernia repair by component separation technique augmented with prosthetic mesh

2020 ◽  
Vol 7 (10) ◽  
pp. 3273
Author(s):  
Ravi Saroha ◽  
Shivani B. Paruthy ◽  
Sunil Singh
Keyword(s):  
Abdominal Wall ◽  
Tertiary Care ◽  
Component Separation ◽  
Separation Technique ◽  
Close Monitoring ◽  
Care Hospital ◽  
Early Recovery ◽  
Component Separation Technique ◽  
Early Return ◽  
Mesh Augmentation

Background: In our tertiary care hospital, we receive a large number of acute abdomen cases. Raised intra-abdominal pressure (IAP) makes laparostomy mandatory initially and abdominal wall approximation cannot be completed due to compromised state in most cases. Large incisional hernias were seen on complete healing and this study was done to see the feasibility of component separation technique (CST) with mesh augmentation.Methods: 30 patients were subjected to CST with mesh augmentation. Preoperative defect size mapping, Pre- and post-operative monitoring of IAP were done. Pain scoring by visual analogue scale (VAS), early and late complications was noted. Patients were followed up for 60 months.Results: CST with mesh augmentation was found to be feasible with 96.77% success rate as no recurrence was noted in follow up. Preoperative average Basal metabolic index was 26.09. Size of defect varied from 17-20×9-16 cm2 (length X width). Seroma seen in 50% of patients was managed without any intervention. Skin necrosis in 6.6% and wound dehiscence in 3.33%, managed with minimal debridement & local wound care respectively. Respiratory compromise and hematoma were not seen and no patient required any active ICU care. Average length of hospital stay was 5.22 days. Close monitoring of IAP in immediate post-operative period was found to be significant.Conclusion: Physical acceptance of stable abdominal wall gives a psychological boost to patients with early recovery in form of ambulation and early return to work.

“Component separation” technique and panniculectomy for repair of incisional hernia

2011 ◽  
Vol 201 (6) ◽  
pp. 776-783 ◽  
Author(s):  
Marco Mazzocchi ◽  
Luca Andrea Dessy ◽  
Raul Ranno ◽  
Bruno Carlesimo ◽  
Corrado Rubino
Keyword(s):  
Incisional Hernia ◽  
Component Separation ◽  
Separation Technique ◽  
Component Separation Technique

scholarly journals Greater Success of Primary Fascial Closure of the Open Abdomen: A Retrospective Study Analyzing Applied Surgical Techniques, Success of Fascial Closure, and Variables Affecting the Results

2016 ◽  
Vol 106 (2) ◽  
pp. 145-151 ◽  
Author(s):  
M. Kääriäinen ◽  
M. Kuuskeri ◽  
M. Helminen ◽  
H. Kuokkanen
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Open Abdomen ◽  
Component Separation ◽  
Separation Technique ◽  
Fascial Closure ◽  
Study Patient ◽  
Wound Therapy ◽  
Closure Rate ◽  
Component Separation Technique

Background and Aims: The open abdomen technique is a standard procedure in the treatment of intra-abdominal catastrophe. Achieving primary abdominal closure within the initial hospitalization is a main objective. This study aimed to analyze the success of closure rate and the effect of negative pressure wound therapy, mesh-mediated medial traction, and component separation on the results. We present the treatment algorithm used in our institution in open abdomen situations based on these findings. Material and Methods: Open abdomen patients (n = 61) treated in Tampere University Hospital from May 2005 until October 2013 were included in the study. Patient characteristics, treatment prior to closure, closure technique, and results were retrospectively collected and analyzed. The first group included patients in whom direct or bridged fascial closure was achieved, and the second group included those in whom only the skin was closed or a free skin graft was used. Background variables and variables related to surgery were compared between groups. Results and Conclusion: Most of the open abdomen patients (72.1%) underwent fascial defect repair during the primary hospitalization, and 70.5% of them underwent direct fascial closure. Negative pressure wound therapy was used as a temporary closure method for 86.9% of the patients. Negative pressure wound therapy combined with mesh-mediated medial traction resulted in the shortest open abdomen time (p = 0.039) and the highest fascial repair rate (p = 0.000) compared to negative pressure wound therapy only or no negative pressure wound therapy. The component separation technique was used for 11 patients; direct fascial closure was achieved in 5 and fascial repair by bridging the defect with mesh was achieved in 6. A total of 8 of 37 (21.6%) patients with mesh repair had a mesh infection. The negative pressure wound therapy combined with mesh-mediated medial traction promotes definitive fascial closure with a high closure rate and a shortened open abdomen time. The component separation technique can be used to facilitate fascial repair but it does not guarantee direct fascial closure in open abdomen patients.

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