Robotic transversus abdominis release for parastomal hernia and hypogastric incisional hernia – a video vignette

2020 ◽  
Vol 22 (5) ◽  
pp. 599-600
Author(s):  
F. Coratti ◽  
C. Maggioni ◽  
A. Manetti ◽  
F. Cianchi
Keyword(s):  
Incisional Hernia ◽  
Parastomal Hernia ◽  
Transversus Abdominis ◽  
Transversus Abdominis Release ◽  
Video Vignette

Laparoscopic component separation and transversus abdominis release for parastomal hernia—a video vignette

2021 ◽  
Author(s):  
Francesco Coratti ◽  
Rosaria Tucci ◽  
Carlotta Agostini ◽  
Giuseppe Barbato ◽  
Andrea Manetti ◽  
...  
Keyword(s):  
Parastomal Hernia ◽  
Component Separation ◽  
Transversus Abdominis ◽  
Transversus Abdominis Release ◽  
Video Vignette

Robotic repair of a parastomal hernia with transversus abdominis release – a video vignette

2019 ◽  
Vol 22 (2) ◽  
pp. 222-223 ◽  
Author(s):  
G. Formisano ◽  
G. Giuliani ◽  
L. Salvischiani ◽  
A. Salaj ◽  
P. P. Bianchi
Keyword(s):  
Parastomal Hernia ◽  
Transversus Abdominis ◽  
Transversus Abdominis Release ◽  
Video Vignette

scholarly journals Robotic versus open transversus abdominis release and incisional hernia repair: A case-control study

2020 ◽  
Vol 3 (3) ◽  
pp. 59-62
Author(s):  
Jenna Reeves ◽  
Shreya Mehta ◽  
Ramesh Damodaran Prabha ◽  
Yasser Salama ◽  
Anubhav Mittal
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Case Control Study ◽  
Incisional Hernia Repair ◽  
Case Control ◽  
Transversus Abdominis ◽  
Transversus Abdominis Release ◽  
Control Study

scholarly journals P028 COMBINING SEVEN ITEMS OF THE TOOLBOX TO TREAT A LARGE INCISIONAL HERNIA WITH HETEROTOPIC OSSIFICATION: A CASE REPORT

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Zaid Malaibari ◽  
Henning Niebuhr ◽  
Halil Dag
Keyword(s):  
Incisional Hernia ◽  
Heterotopic Ossification ◽  
Abdominal Wall ◽  
Transversus Abdominis ◽  
Heterotopic Bone ◽  
Transversus Abdominis Release ◽  
Wide Range ◽  
Free Closure ◽  
Lateral Defect ◽  
Botox Injection

Abstract Aim We present our approach of treating a W3 (EHS-Classification) incisional hernia with heterotopic ossification in the abdominal wall. Material and Methods a 62-years-old female patient presented with a hernia in her inverted-T incision (midline and transverse) after undergoing multiple laparotomies. The CT-scan showed calcified structures within the abdominal wall. We planned the extensive reconstruction after preoperative Botox injections. Results The 20x25 cm hernial sack contained parts of the stomach and colon. The dissection of the midline and transverse scars was challenging with the needed removal of scattered pieces of heterotopic bone tissues. After dissecting the retro-muscular space, the fascial edges were 25 cm apart. With bilateral transversus abdominis release (TAR), It was reduced to 20 cm. The posterior fascia was approximated, leaving a central 12 cm defect, and a smaller lateral defect, which we covered using open-IPOM and underlay techniques respectively. A 30x40 cm mesh in sublay position was placed and fascial traction was applied on the anterior fascia. With the resulting defect of 16 cm, a tension-free closure was still not possible, and we bridged the gap with a mesh in inlay position. Conclusions Despite combining pre-operative Botox injection and fascial traction with TAR, complete closure of the fascia was not possible. IPOM, sublay, underlay and inlay bridging were needed. Specialized hernia surgeons should be familiar with a wide range of different techniques to deal with such cases.

scholarly journals Transversus abdominis release versus perforator preseving anterior component separation in repair of large midline incisional hernia

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A K Abdallah ◽  
K H Gad ◽  
A A Darwish ◽  
I M Abdelmaksoud
Keyword(s):  
Postoperative Pain ◽  
Incisional Hernia ◽  
Operative Time ◽  
Component Separation ◽  
Transversus Abdominis ◽  
Wound Complications ◽  
Transversus Abdominis Release ◽  
Postoperative Wound ◽  
The Mean ◽  
Anterior Component Separation

Abstract Background Ventral hernia repair can be challenging, particularly in patients with serious comorbidity. Perforator preserving anterior component separation (ACS) by transverse skin incisions for external oblique aponeurosis release preserves both the rectus abdominis myocutaneous perforator vessels that supply the overlying skin and the connection between the subcutaneous fat and anterior rectus sheath, thereby reducing subcutaneous dead space and potentially improving overlying skin flap vascularity. Also posterior component separation via transversus abdominis release (TAR) provides effective fascial advancement while reducing wound morbidity during abdominal wall reconstructions. Both techniques give better results than classic ACS. Objectives to evaluate postoperative morbidity and recurrence rate when using transversus abdominis release technique in management of large midline incisional hernia in comparison with open perforator preserving anterior component separation. Patients and Methods the present study is a prospective study that was conducted at Ain Shams University Hospitals in Egypt, between October 2016 and October 2018. It included sixty (60) patients with large midline incisional hernia divided into two groups. First group include thirty patients who underwent transversus abdominis release with retromuscular polyprolene mesh placement. Second group include also thirty patients that underwent open perforator preserving anterior component separation and also with retromuscular placement of polyprolene mesh. Patients compared as regards operative time, length of hospital stay, postoperative pain, postoperative ileus, postoperative wound complications, rate of recurrence. Results Patients in both groups were similar with respect to age, the patients ages ranged from 20 to 70 years, with mean age in both groups around 46 years and between 20-23% have DM in each group. Perforator preserving technique has less operative time by about 40 minutes when compared with TAR technique. The postoperative pain assessment at 48hrs postoperative show that the mean pain score for TAR was (6.77 ± 1.70) and for perforator preserving group (5.47 ± 1.85). We also found that the mean hospital stay was slightly higher when performing TAR technique (5.2days) while it was (4.3days) after perforator preserving approach. There is nearly equal incidence of postoperative wound complications and also no statistically significant different rate of recurrence between two methods Conclusion both TAR and perforator preserving technique are effective and reliable method in experienced hands and if there is no special indication to one of them, the choice between both should depend on surgeon preference and experience.

Linea Arcuate Hernia Following Transversus Abdominis Release Incisional Hernia Repair

2019 ◽  
Vol 82 (1) ◽  
pp. 85-88 ◽  
Author(s):  
Ian Lambourne McCulloch ◽  
Cody L. Mullens ◽  
Kristen M. Hardy ◽  
Jon S. Cardinal ◽  
Cristiane M. Ueno
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
Transversus Abdominis ◽  
Transversus Abdominis Release
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