J Korean Surg Soc.  2011 Jun;80(Suppl 1):S63-S66. 10.4174/jkss.2011.80.Suppl1.S63.

Components separation technique for large abdominal wall defect

• Kim Z
• Kim YJ

• KMID: 2096654
• DOI: http://doi.org/10.4174/jkss.2011.80.Suppl1.S63

Abstract

Repairing large incisional hernia with abdominal wall reconstruction is a technically challenging problem for surgeons. We report our experience of large midline incisional hernia which was repaired successfully with components separation technique. A patient with incisional hernia, 35 x 20 cm in size, underwent operation following standard components separation technique. The aponeurosis of the external abdominal oblique muscle was longitudinally transected from the rectus sheath, and the external abdominal oblique muscle was separated from the internal abdominal oblique muscle. With further separation of the posterior rectus sheath from the rectus abdominis muscle, closure of the abdominal wall was attained without tension. The post-operative course was uneventful with minor wound seroma. The patient discharged safely, and no further complication in terms of recurrence and wound problem has occurred. Components separation technique could be a possible and effective treatment option for repair of large abdominal wall defect.

Keyword

Ventral hernia; Components separation technique; Abdominal wall reconstruction

MeSH Terms

Abdominal Wall
Hernia
Hernia, Ventral
Humans
Muscles
Rectus Abdominis
Recurrence
Seroma

Figure

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  Fig. 1 (A) Tension free abdominal wall closure was attained by taking big bites of fascia with polydioxanone continuous running sutures. (B) External oblique aponeurosis separated and retracted laterally. Defects up to 28 cm in the waistline could be bridged.

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