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Year : 2018  |  Volume : 35  |  Issue : 3  |  Page : 407-412

Short-term outcomes of the component separation technique for the repair of complex ventral hernia

General Surgery Department, Mansoura Faculty of Medicine University, Mansoura, Egypt

Correspondence Address:
Dr. Amro ElHadidi
General Surgery Department, Mansoura Faculty of Medicine, Mansoura 35111
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/bmfj.bmfj_156_18

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Backgrounds The component separation technique is a well-known procedure for closure of a large abdominal wall defect. Primary reconstruction either alone or with synthetic mesh reinforcement provides physiological advantages. Our study evaluates this technique in terms of indications, operative outcomes, and postoperative results. Patients and methods Fascial component separation was performed either alone or with mesh reinforcement for patients with large abdominal wall defects between January 2013 and December 2016. Results A total of 40 patients, 15 (37.5%) men and 25 (62.5%) women were included in the study. The mean age of the patients was 53.8 years (range, 27–68 years). The mean body mass index (BMI) was 35.3 kg/m2 (range, 25.5–45.9 kg/m2). The mean defect size was 12.8 cm (range, 10–15 cm). The mean operative time was 152.5 min (range, 81–220.5 min), with the mean duration of hospital stay being 14 days (range, 9–19 days). Forty-five percent of patients needed mesh reinforcement. The mean follow-up period was 24 months. The total recurrence rate was 5% (2/40). No mortality or major intraoperative or postoperative complications were observed. Conclusion The component separation technique provides a reliable, autologous reconstructive modality for treating large abdominal wall defects. Additionally, mesh reinforcement can decrease the recurrence rate without an increase in the rate of major intraoperative or postoperative complications.

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