Twelve years of component separation technique in abdominal wall reconstruction

摘要: Abstract Background Component separation technique involves incision of abdominal muscle and its aponeurosis, which generates a myofascial advancement flap to assist with fascial closure in wall reconstructions. This tissue mobilization allows for musculo-fascial approximation much larger defects than would otherwise be possible. With extensive mobilization, however, there is concern significant wound systemic complications. Methods A prospective, single institution hernia database was queried patients undergoing component from January 2006 May 2018. Emergency operations were excluded. Anterior (external oblique release posterior rectus sheath release) (transversus abdominus examined. Results Of the 775 separation, 33.4% included anterior 66.6% separation. Mean age 58.8 ± 11.5 years, mean body mass index 33.6 7.1 (kg/m2), 27.9% diabetic. Hernias large (280.0 220.9 cm2) often complex (recurrent: 62.6%, incarcerated: 41.5%, concomitant panniculectomy: 39.1%, contaminated: 37.0%). Defect size group compared (379.5 265.2 vs 230.0 175.0 cm2, P Conclusion Both are associated low recurrence rates, but higher Prehabilitation operative techniques improve outcomes