Abstract
Incisional hernias are chronic post-incisional abdominal wall defects which result in the protrusion of abdominal contents through the incisional opening. These defects, which Jean Rives initially referred to as a “disease process,” are a serious complication of abdominal surgery and primarily contribute to chronic pain, bowel obstruction, strangulation, incarceration, while secondarily resulting in a reduction in quality of life and employment. Ramirez et al. first described their component separation technique for complex abdominal wall hernia repairs, which utilized a technique that separated individual muscle components of the abdominal wall. This allowed greater mobilization of each unit over a greater distance, facilitating tension-free abdominal wall closure for patients with very large and complex incisional hernias. However, this technique resulted in significant morbidity and postoperative complications due to the mobilization of large undermining skin flaps, seroma formation under Gallaudet’s fascia, and skin necrosis.
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Harris, J., Roth, J. (2015). Endoscopic Component Separation for Ventral Hernia Repair. In: Madbak, F., Dangleben, D. (eds) Options in the Management of the Open Abdomen. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1827-0_7
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