Transversus abdominis release in the treatment of subcostal incisional hernias

Subcostal incisions are used primarily in hepato-pancreato-biliary procedures due to their excellent exposure of upper abdominal structures, ease of closure of the abdominal wall layers and their reduced incidence of incisional hernias compared to midline incisions. Nonetheless, subcostal hernias – when they occur - pose a substantial clinical problem, and are considered as “complex defects”.1 In 2009, Stumpf et al. performed dissections on cadavers and stated that, in the treatment of subcostal hernias “…the layer between the external oblique muscle and the internal oblique muscle is the ideal place to position the mesh with adequate overlap”.

Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 7, 2019 Category: Cosmetic Surgery Authors: Antonio Espinosa-de-los-Monteros, Stephanie Hernandez-Camacho, Alberto Saldivar-Luna, Mariam Rela Tags: Correspondence and Communications Source Type: research