Posterior Component Separation With Transversus Abdominis Muscle Release (TAR) for Complex Incisional Hernias in Kidney Transplant Recipients.

2014 ◽  
Vol 98 ◽  
pp. 640-641
Author(s):  
C. Petro ◽  
G. De Silva ◽  
E. Sanchez ◽  
K. Woodside ◽  
M. Rosen ◽  
...  
Keyword(s):  
Kidney Transplant ◽  
Component Separation ◽  
Transversus Abdominis ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Posterior Component Separation ◽  
Incisional Hernias ◽  
Transversus Abdominis Muscle

Transversus abdominis muscle release for repair of complex incisional hernias in kidney transplant recipients

2015 ◽  
Vol 210 (2) ◽  
pp. 334-339 ◽  
Author(s):  
Clayton C. Petro ◽  
Sean B. Orenstein ◽  
Cory N. Criss ◽  
Edmund Q. Sanchez ◽  
Michael J. Rosen ◽  
...  
Keyword(s):  
Kidney Transplant ◽  
Transversus Abdominis ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Incisional Hernias ◽  
Transversus Abdominis Muscle

scholarly journals ABDOMINAL WALL RECONSTRUCTION BY BILATERAL TRANSVERSUS ABDOMINIS RELEASE – A MASTERLY PROCEDURE

2020 ◽  
pp. 10-11
Author(s):  
Anirban Bhunia ◽  
Soumyajyoti Panja
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Component Separation ◽  
Transversus Abdominis ◽  
Abdominal Hernia ◽  
Posterior Component Separation ◽  
Loss Of Domain ◽  
Ventral Incisional Hernia ◽  
Operative Recovery ◽  
Transversus Abdominis Muscle

BACKGROUND: In ventral hernia repair, closure of the defect is one of the most significant challenges, especially in a wide defect, large hernias with loss of domain, and recurrent hernias. Posterior component separation with transverses abdominis muscle release (TAR) is a novel approach that offers a solution for complex ventral hernias. AIMS AND OBJECTIVES: To assess the clinical effectiveness of posterior abdominal wall components separation with transversus abdominis muscle release (PCS-TAR) in the management of ventral abdominal hernia with loss of domain. METHOD: The posterior component separation by transversus abdominis muscle release (simply TAR) is a modification of the Rives-Stoppa procedure which combines it with developing of a large retro-muscular/pre-peritoneal plane and a consistent medial advancement of the abdominal wall musculature and accompanying fascia. This preserves the neurovascular bundles innervating the medial abdominal wall. Mesh is placed in a sublay fashion above the posterior layer. In an overwhelming majority of patients, the linea alba is reconstructed, creating a functional abdominal wall with wide mesh reinforcement. RESULT: We used this procedure in a case of large median ventral incisional hernia. Our patient was a known post-operative case of exploratory laparotomy for ileal perforation following blunt abdominal trauma. Ileostomy was done due to gross intraperitoneal contamination. His post-operative recovery was complicated by wound dehiscence previously. Patient presented with a hernia along the midline wound with a gap of 12*7 cm. After the abdominal wall reconstruction procedure (TAR) with mesh placement over posterior rectus sheath (15*20cm) his post op recovery was uneventful. There was no recurrence till follow up of 3 months. CONCLUSION: TAR seems to be the effective approach for complex hernias with good immediate outcomes.

Outcomes of Posterior Component Separation With Transversus Abdominis Muscle Release and Synthetic Mesh Sublay Reinforcement

2016 ◽  
Vol 264 (2) ◽  
pp. 226-232 ◽  
Author(s):  
Yuri W. Novitsky ◽  
Mojtaba Fayezizadeh ◽  
Arnab Majumder ◽  
Ruel Neupane ◽  
Heidi L. Elliott ◽  
...  
Keyword(s):  
Synthetic Mesh ◽  
Component Separation ◽  
Transversus Abdominis ◽  
Posterior Component Separation ◽  
Transversus Abdominis Muscle

scholarly journals OV14 POSTERIOR COMPONENT SEPARATION FOR A GIANT LUMBAR HERNIA IN A KIDNEY TRANSPLANT PATIENT

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Marianna Maspero ◽  
Camillo Leonardo Bertoglio ◽  
Lorenzo Morini ◽  
Bruno Alampi ◽  
Giovanni Ferrari
Keyword(s):  
Kidney Transplant ◽  
Polyvinylidene Fluoride ◽  
Open Repair ◽  
Lumbar Hernia ◽  
Component Separation ◽  
Transversus Abdominis ◽  
Kidney Transplant Patient ◽  
Posterior Component Separation ◽  
Non Invasive Ventilation ◽  
Versatile Technique

Abstract Aim Posterior component separation with transversus abdominis release (PCS-TAR) represents a good option for challenging complex ventral hernia repairs. We present a case of PCS-TAR for a giant lumbar hernia in a patient with a transplanted kidney. Material and Methods The patient is a 46 years old man with a Charlson Comorbidity Index of 2 and a BMI of 27.5 kg/m2 who underwent a kidney transplant in 2005 and a subsequent open repair with mesh implantation for an incisional hernia in 2007. Two years later, he experienced a hernia recurrence, but chose conservative management. In 2019, the patient complained of progressively worsening pain and bulky sensation. Due to the size and location of the defect and the massive relaxation of the muscle fibers, open repair with PCS-TAR was indicated. Results In 2019, the patient underwent right-sided PCS-TAR with retromuscular placement of one polyvinylidene fluoride (PVDF) mesh and one biosynthetic mesh. Duration of the procedure was 295 minutes. Two drains were placed, respectively in the subfascial and in the subcutaneous plane. Postoperative course required non-invasive ventilation for respiratory distress, but was otherwise uneventful and he was discharged on postoperative day 8. After 12 months, the patient showed no signs of recurrence. Conclusions PCS-TAR is a versatile technique for the repair of complex ventral hernias, with an acceptable rate of postoperative complications and good long-term outcomes.

scholarly journals Use of posterior component separation and transversus abdominis release in trauma and emergency general surgery patients: a case report and review of the literature

2019 ◽  
Vol 4 (1) ◽  
pp. e000268
Author(s):  
John J Como ◽  
Oliver L Gunter ◽  
Jose J Diaz ◽  
Vanessa P Ho ◽  
Preston R Miller
Keyword(s):  
General Surgery ◽  
Relevant Literature ◽  
Synthetic Mesh ◽  
Component Separation ◽  
Transversus Abdominis ◽  
Transversus Abdominis Release ◽  
Emergency General Surgery ◽  
Recurrence Rates ◽  
Posterior Component Separation ◽  
Incisional Hernias

Posterior component separation with transversus abdominis release and implantation of synthetic mesh in the retromuscular space is a durable type of repair for many large incisional hernias with recurrence rates consistently less than 10%. The purported advantage of biologic prostheses in contaminated fields has recently been challenged, and the concern for placing synthetic mesh in contaminated fields may be overstated. There are almost no data specifically addressing the use of this type of repair for chronic incisional hernias in trauma and emergency general surgery patients, so research is needed on this patient population. In this review, a case of a trauma patient receiving posterior component separation with transversus abdominis release and implantation of synthetic mesh for a chronic incisional hernia resulting from a gunshot wound to the abdomen is presented, the technique is explained, and relevant literature is reviewed.

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