Components Separation Technique in Treatment of Patients with Ventral and Incisional Hernias (Review)

Паршиков, В. В.; Логинов, В. И.

doi:10.17691/stm2016.8.1.24

Cited by 17 publications

(3 citation statements)

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“…Regarding the cases of complex hernias, the classical approaches (sublay, onlay) do not suit to be used because of the risk of intraabdominal hypertension development followed by organ dysfunction and organ failure [11]. An inlay technique can obtain a tensionfree repair but it is followed by a postoperative diastasis recti abdominis and in time we obtain a dysfunctional abdominal wall, leading to abdominal recti atrophy [5].…”

Section: Open Surgerymentioning

confidence: 99%

Abdominal wall augmentation techniques used in complex postincisional hernias repair

Ristea

Ion

Bolocan

et al. 2019

RJCR

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One of the most common unwanted consequence of abdominal surgery is the development of an incisional hernia. It occurs in up to 20% or more of laparotomies [1], [2]. Complex defects of the abdominal wall may also be caused by infection, trauma or tumor resection [3]. Complex and recurrent defects of the abdominal wall represents a challenging surgical and a socio-economic problem due to the time and material expenses [2]. Besides the aesthetic disfigurement those defects may also lead to functional consequences with poor protection of the intra-abdominal viscera [4]. Various surgical approaches can be used in hernia repair in an open fashion or minimally invasive laparoscopic or robotic techniques. Mesh herniorrhaphy was demonstrated to be superior to suture repair alone, with a recurrence rate of 32% compared with 63% in long-term follow-up, in spite of the advances made in mesh materials, surgical technique and perioperative care [1]. Regardless the approach, the tension-free repair remain the basis of modern herniology [5].

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Section: Open Surgerymentioning

confidence: 99%

Abdominal wall augmentation techniques used in complex postincisional hernias repair

Ristea

Ion

Bolocan

et al. 2019

RJCR

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“…Being, bilateral, it enables to mobilize the rectus muscles medially (5-10cm in the upper abdomen, 10-15cm in the umbilical area, and 3-8cm in the lower abdomen) [4]. According to some others, once the rectus muscles are relocated in situ it will start functioning well postoperatively preventing recurrences and improving the chronic back pain [5]. Kim et al, 2011 [6] considered this technique as a method of choice and a real alternative to prosthetic repair.…”

Section: Introductionmentioning

confidence: 99%

Abdominoplasty Combined with the Anterior Component Separation Technique for Reconstruction of Midline Large Ventral Hernias: Functional and Aesthetic Outcome Clinical Study

Akila

Bakry

Afifi

et al. 2022

The Egyptian Journal of Plastic and Reconstructive Surgery

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Background: Large midline ventral hernias, diastasis of recti and the associated laxity and abdominal shape deformity, represent aesthetic and functional problems for the patients. So, the surgical treatment of both pathologies at the same time is highly recommended if the patient's general condition permits. This can be achieved by a comprehensive technique incorporating abdominoplasty performed by a transverse lower abdominal incision into any of the hernia repair techniques.Objective: The aim of this study is to evaluate the functional and aesthetic outcome of the combined abdominoplasty and anterior component separation technique in the management of midline ventral abdominal hernias.Patients and Methods: This study is a prospective case control study that evaluates both functional and aesthetic outcome of performing abdominoplasty on patients with large midline ventral hernias. This study was conducted between

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“…Midline laparotomy is the most commonly used approach in both elective and emergency surgery [1,2]. According to different authors, postoperative ventral hernias occur in 7-24% of cases after a midline laparotomy, including 17% during the first year [3][4][5]. There are various techniques for suturing the aponeurosis during a midline laparotomy.…”

Section: Introductionmentioning

confidence: 99%

Stress-strain properties of aponeurotic suture in anterior abdominal wall after a midline laparotomy

et al. 2021

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Objective: method development for preventing postoperative ventral hernias based on experimental assessment of the stress-strain properties of aponeurosis in various types of a midline laparotomy. Materials and methods. We evaluated 42 fascia muscular aponeurotic complexes of the anterior abdominal wall. Based on the technique for dissecting the aponeurosis and its suturing, the complexes were divided into two groups (each containing 21 samples): Group 1 with a bypass of the umbilical ring on the left, and Group 2 with umbilical ring dissection. Results. Fascia aponeurotic complexes dissected and sutured through the umbilical ring (Group 2) had, on the average, higher values of mechanical characteristics. E.g., mean values of tensile stress (S), tensile stress at a maximum load (Smax), Young’s modulus (E), aponeurotic tensile strain (D), aponeurotic tensile strain at a maximum load (Dmax), and maximum load level (Load) were higher in Group 2 by 35.4; 39.8; 14.9; 34.6; 30.2 and 40.2 (%), respectively. Conclusion. We conducted the development, experimental application and evaluation of a novel method for preventing postoperative ventral hernias after a midline laparotomy based on the assessment of the stress-strain properties of aponeurosis.

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Components Separation Technique in Treatment of Patients with Ventral and Incisional Hernias (Review)

Cited by 17 publications

References 0 publications

Abdominal wall augmentation techniques used in complex postincisional hernias repair

Abdominal wall augmentation techniques used in complex postincisional hernias repair

Abdominoplasty Combined with the Anterior Component Separation Technique for Reconstruction of Midline Large Ventral Hernias: Functional and Aesthetic Outcome Clinical Study

Stress-strain properties of aponeurotic suture in anterior abdominal wall after a midline laparotomy

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