Component Separations
- 23 February 2012
- journal article
- Published by Georg Thieme Verlag KG in Seminars in Plastic Surgery
- Vol. 26 (01), 25-28
- https://doi.org/10.1055/s-0032-1302462
Abstract
Component separation is a technique used to provide adequate coverage for midline abdominal wall defects such as a large ventral hernia. This surgical technique is based on subcutaneous lateral dissection, fasciotomy lateral to the rectus abdominis muscle, and dissection on the plane between external and internal oblique muscles with medial advancement of the block that includes the rectus muscle and its fascia. This release allows for medial advancement of the fascia and closure of up to 20-cm wide defects in the midline area. Since its original description, components separation technique underwent multiple modifications with the ultimate goal to decrease the morbidity associated with the traditional procedure. The extensive subcutaneous lateral dissection had been associated with ischemia of the midline skin edges, wound dehiscence, infection, and seroma. Although the current trend is to proceed with minimally invasive component separation and to reinforce the fascia with mesh, the basic principles of the techniques as described by Ramirez et al in 1990 have not changed over the years. Surgeons who deal with the management of abdominal wall defects are highly encouraged to include this technique in their collection of treatment options.Keywords
This publication has 14 references indexed in Scilit:
- Multidisciplinary approach to abdominal wall reconstruction after decompressive laparotomy for abdominal compartment syndrome.2005
- Staged Reconstruction after Gunshot Wounds to the AbdomenPlastic and Reconstructive Surgery, 2001
- Challenging abdominal wall defectsThe American Journal 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
- Endoscopically Assisted ???Components Separation??? for Closure of Abdominal Wall DefectsPlastic and Reconstructive Surgery, 2000
- A modification of the “components separation” technique for closure of abdominal wall defects in the presence of an enterostomyJournal of the American College of Surgeons, 1999
- Closure of Chronic Abdominal Wall Defects: A Long-term Evaluation of the Components Separation MethodAnnals of Plastic Surgery, 1999
- Sliding Myofascial Flap of the Rectus Abdominus Muscles for the Closure of Recurrent Ventral HerniasPlastic and Reconstructive Surgery, 1996
- Planned Ventral Hernia Staged Management for Acute Abdominal Wall DefectsAnnals of Surgery, 1994
- “Components Separation” Method for Closure of Abdominal-Wall DefectsPlastic and Reconstructive Surgery, 1990