Endoscopically Assisted “Components Separation Technique” for The Repair of Complicated Ventral Hernias

Maas, Sylvester M.; Reilingh, T. S. de Vries; Goor, Harry van; Jong, D. de; Bleichrodt, Robert P.

doi:10.1016/s1072-7515(01)01140-1

Cited by 92 publications

(49 citation statements)

References 9 publications

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“…Some surgeons believe that innervated, autogenous tissue, as opposed to prosthetic mesh, is the method of choice in abdominal wall reconstruction [2, 3]. With transection of the external oblique muscle, a compound flap is created that can be advanced 10 cm at the waistline on both sides [3,18]. The technique may have hernia recurrence of up to 31%, and wound complications in 11% to 40% of patients [18].…”

Section: Discussionmentioning

confidence: 99%

Long-term pain and recurrence after repair of ventral incisional hernias by open mesh: clinical and MRI study

Paajanen

Hermunen

2003

Langenbecks Arch Surg

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Section: Discussionmentioning

confidence: 99%

Long-term pain and recurrence after repair of ventral incisional hernias by open mesh: clinical and MRI study

Paajanen

Hermunen

2003

Langenbecks Arch Surg

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“…However, major wound morbidity may ensue from the large lipocutaneous skin flaps [1]. With advances in minimally invasive surgery, endoscopic approaches have been described and proposed as alternatives to minimize wound flap morbidity [2][3][4][5].Although some studies have investigated the clinical outcomes associated with open and endoscopic component separation, none have evaluated the costs associated with these procedures in the setting of complex abdominal wall reconstruction. It is unclear whether the additional cost of…”

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confidence: 99%

Open versus endoscopic component separation: a cost comparison

et al. 2011

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“…Endoscopic division of external oblique [3] was suggested to avoid raising the skin flaps which led to skin necrosis. We did an endoscopic component separation technique (CST) in the three cases.…”

Section: Endoscopic Component Separation Techniquementioning

confidence: 99%

Component Separation Technique: an Effective Way of Treating Large Ventral Hernia

2015

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Repair of large ventral hernia is a challenge for even experienced surgeons, as there are large defects with large contents, often with loss of domain. The large defects were bridged by various plastic surgical procedures like myofascial flaps or free flaps with high recurrences and complications. More often, the bridging was done with artificial prosthesis, leaving the defects open. This was accomplished by either open surgery (onlay, inlay, sublay or underlay) or laparoscopic intraperitoneal onlay meshes (IPOMs). However, non-closure of the midline had adverse effects on postural maintenance, respiration, micturition, defecation and biomechanical properties, which have a profound impact on the patients' overall physical capacity and quality of life. Component separation technique (CST) is a novel answer to the closure of midline with live, active tissues with or without the use of additional prosthesis. Though this technique was originally described in 1990, it has undergone lots of modifications like perforator preserving CST, endoscopic technique and posterior component separation. So, we present a series of 22 patients with large ventral hernia repaired using various options of component separation technique in the last 3 years.

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Endoscopically Assisted “Components Separation Technique” for The Repair of Complicated Ventral Hernias

Cited by 92 publications

References 9 publications

Long-term pain and recurrence after repair of ventral incisional hernias by open mesh: clinical and MRI study

Long-term pain and recurrence after repair of ventral incisional hernias by open mesh: clinical and MRI study

Open versus endoscopic component separation: a cost comparison

Component Separation Technique: an Effective Way of Treating Large Ventral Hernia

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