Early Postoperative Outcome of Posterior Component Separation through Transversus Abdominus Release for the Treatment of Midline Incisional Hernia
EL-Samahy, A., Shawky, A., Youssef, T., Elbanna, M. (2022). Early Postoperative Outcome of Posterior Component Separation through Transversus Abdominus Release for the Treatment of Midline Incisional Hernia. EKB Journal Management System, 15(1), 64-69. doi: 10.21608/asjs.2022.228487
Ahmed S. EL-Samahy; Ashraf Shawky; Tarek Youssef; Mohey Elbanna. "Early Postoperative Outcome of Posterior Component Separation through Transversus Abdominus Release for the Treatment of Midline Incisional Hernia". EKB Journal Management System, 15, 1, 2022, 64-69. doi: 10.21608/asjs.2022.228487
EL-Samahy, A., Shawky, A., Youssef, T., Elbanna, M. (2022). 'Early Postoperative Outcome of Posterior Component Separation through Transversus Abdominus Release for the Treatment of Midline Incisional Hernia', EKB Journal Management System, 15(1), pp. 64-69. doi: 10.21608/asjs.2022.228487
EL-Samahy, A., Shawky, A., Youssef, T., Elbanna, M. Early Postoperative Outcome of Posterior Component Separation through Transversus Abdominus Release for the Treatment of Midline Incisional Hernia. EKB Journal Management System, 2022; 15(1): 64-69. doi: 10.21608/asjs.2022.228487

Early Postoperative Outcome of Posterior Component Separation through Transversus Abdominus Release for the Treatment of Midline Incisional Hernia

Ain Shams Journal of Surgery
Article 9, Volume 15, Issue 1, January 2022, Page 64-69  XML PDF (339.14 K)
Document Type: Original Article
DOI: 10.21608/asjs.2022.228487
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Authors
Ahmed S. EL-Samahyorcid 1; Ashraf Shawky1; Tarek Youssef2; Mohey Elbanna2
1Department of Surgery, Military Medical Academy, Cairo, Egypt
2Department of Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Abstract
Background: Posterior Component Separation through Transversus abdominus Muscle Release (PCS-TAR) is
considered as a better option for Abdominal Wall Reconstruction (AWR) during large ventral wall IH repair as it
has advantage over both Rives-Stoppa (Retro muscular) repair and Anterior Component Separation (ACS) repair in
avoiding injury of the nerve supply to rectus muscle, and in the ability to achieve more lateral dissection, providing
better quality of life (QoL).
Aim of work: To evaluate 30-day post operative outcome of PCS-TAR regarding both; Visual Analogue Scale (VAS)
and Surgical Site Occurrence (SSOs) classification provided by Ventral Hernia Working Group (VHWG) in 2010.
Patients and methods: This prospective observational study was conducted to 30 patients who have a midline
incisional hernia with defect size ≥ 10 cm in widest diameter (W3) and underwent IH repair through (PSC-TAR)
after routine laboratory investigations, abdominal ultrasonography, and CT. Informed consent was taken from all
cases. Results were reviewed and evaluated.
Results: Out of 30 patients, 13 patients (43.3%) developed SSOs. 3 patients (10%) developed cellulitis. 3 patients
(10% of patients) presented with superficial infection. Seroma occurred in 5 patients (16.7%) 3 of which (10%)
developed complicated seroma that needed procedural intervention (SSOpi). Hematoma was observed in 2 patients
(6.7%).
Conclusion: Retro muscular, Ravis Stoppa technique and ACS are comparable to PCS-TAR regarding patient
reported outcomes (PROs). However, PCS-TAR still has resulted in a better quality of life (QoL). The outcome of
PCS-TAR is still better even in the presence of comorbidities such as high BMI, DM, and COPD.
Keywords
Posterior Component Separation through Transversus Abdominis Release; Incisional Hernia Repair; Surgical Site Occurrence
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