Synthetic and Biological Mesh in Component Separation
- 1 May 2010
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Plastic Surgery
- Vol. 64 (5), 696-698
- https://doi.org/10.1097/sap.0b013e3181dc8409
Abstract
Definitive repair of recurrent ventral hernias using abdominal wall reconstruction techniques is an essential tool in the armentarium for general and plastic surgeons. Despite the great morbidity associated with incisional hernia, no consensus exists on the best means for treatment (Korenkov et al, Langenbecks Arch Surg. 2001;386:65-73). Ramirez et al (Plast Reconstr Surg. 1990;83:519-526) describes the "component separation" technique to mobilize the rectus-abdominus internal oblique and external oblique flap to correct the defect. This retrospective institutional study reviewed 10 years of myofascial flap reconstruction from 1996 to 2006 at Thomas Jefferson University Hospital and revealed an 18.3% recurrence rate in 545 component separations. We identified obesity (body mass index >30 kg/m2), age >65 years old, male gender, postoperative seroma, and preoperative infection as risk factors for hernia recurrence.Keywords
This publication has 9 references indexed in Scilit:
- Outcomes of the fascial component separation technique with synthetic mesh reinforcement for repair of complex ventral incisional hernias in the morbidly obeseThe American Journal of Surgery, 2008
- Multilayer Reconstruction of Abdominal Wall Defects With Acellular Dermal Allograft (AlloDerm) and Component SeparationAnnals of Plastic Surgery, 2005
- Successful Closure of Abdominal Wall Hernias Using the Components Separation TechniqueAnnals of Plastic Surgery, 2003
- Surgical treatment of incisional herniaBritish Journal of Surgery, 2002
- Restoration of Abdominal Wall Integrity as a Salvage Procedure in Difficult Recurrent Abdominal Wall Hernias Using a Method of Wide Myofascial ReleasePlastic and Reconstructive Surgery, 2001
- Classification and surgical treatment of incisional herniaLangenbecks Archives Of Surgery, 2001
- The Separation of Anatomic Components Technique for the Reconstruction of Massive Midline Abdominal Wall Defects: Anatomy, Surgical Technique, Applications, and Limitations RevisitedPlastic and Reconstructive Surgery, 2000
- Sliding Myofascial Flap of the Rectus Abdominus Muscles for the Closure of Recurrent Ventral HerniasPlastic and Reconstructive Surgery, 1996
- “Components Separation” Method for Closure of Abdominal-Wall DefectsPlastic and Reconstructive Surgery, 1990