• Surg. Clin. North Am. · Oct 2013

    Review

    Open ventral hernia repair with component separation.

    • Eric M Pauli and Michael J Rosen.
    • Department of Surgery, Penn State Hershey Medical Center, 500 University Drive, H149, Hershey, PA 17036, USA.
    • Surg. Clin. North Am. 2013 Oct 1; 93 (5): 1111-33.

    AbstractIn this article, the authors describe their current operative technique for open ventral hernia repair using component separation. Although methods of anterior component separation are described, in their current practice, the authors primarily use posterior component separation with transversus abdominis release to permit dissection beyond the retrorectus space. This method adheres to the literature-supported principles of a tension-free midline fascial closure with wide mesh overlap of mesh positioned in a sublay position. The authors' experience with this method supports a low recurrence rate and reduced wound morbidity.Copyright © 2013 Elsevier Inc. All rights reserved.

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