Comparing Transversus Abdominus Release and Anterior Component Separation Techniques in Reconstructing Midline Hernias – A Cadaveric Study

Midline hernias result in abdominal wall defects that can be reconstructed with autologous tissue utilizing component separation of the abdominal wall. The first technique described was anterior component separation described by Ramirez et  al1 where the release of the external oblique aponeurosis allowed advancement of the rectus abdominus medially to the midline, thus allowing closure of ventral midline defects with autologous tissue. The technique, however, involved dissection of the subcutaneous tissues laterally which often crea ted devascularized skin flaps and increased the risk of poor wound healing with the risk of skin necrosis.

Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - June 25, 2018 Category: Cosmetic Surgery Authors: Charles Yuen Yung Loh, Metin Nizamoglu, R Raja Shanmugakrishnan, Alethea Tan, Cecilia Brassett, Bryony Lovett, Makarand Tare, Naguib El-Muttardi Tags: Correspondence and Communications Source Type: research