Transversus Abdominis Muscle Release (TAR) for Posterior Component Separation during Major Abdominal Wall Reconstruction
Abstract Background Ventral hernia repair is one of the most common operations performed today, yet when complex and huge it presents a true challenge for the surgical team. Aim of the Work To assess the feasibility, safety and efficacy of Transversus Abdominis release technique in management of ventral hernia with large defects. Patients and Methods This study is a prospective interventional study conducted at Ain Shams University Hospitals on 40 patients diagnosed as having ventral hernia with a defect equal to or more than 10cm in width and operated upon between October 2018 and October 2019 with minimal follow up of 6 months postoperatively. Results 40 ventral hernia patients were enrolled in the study. Mean operative time (in minutes) in TAR patient is 268.5min (4hr 28min) with SD ± 47.4. Postoperative pain evaluation using the visual analogue scale (VAS) score, the postoperative pain was assessed 48hrs postoperatively, the mean VAS score for TAR patient being (6.77 ± 1.70). Early Postoperative wound complications 10 (25.0%). Conclusion After this TAR technique are effective and reliable method in experienced hands.