Page 242 - Read Online
P. 242
Page 18 of 20 Siegal et al. Plast Aesthet Res 2019;6:25 I http://dx.doi.org/10.20517/2347-9264.2019.35
of life scores and abdominal wall function after abdominal wall reconstruction with transversus abdominis
release [10,45,46] .
CONCLUSION
The transversus abdominis release technique to repair large ventral defects is durable and reliable. It
obviates the creation and morbidity of large lipocutaneous flap performed in ACSs. The TAR approach is
beneficial in cases of previous anterior hernia repairs and provides the mesh with a well-vascularized space
for tissue ingrowth and incorporation. This technique can be utilized in special scenarios and in novel
techniques focusing on minimally invasive approaches.
DECLARATIONS
Authors’ contributions
Made substantial contributions to the entirety of this review: Siegal SR, Pauli EM
Availability of data and materials
Not applicable.
Financial support and sponsorship
None.
Conflicts of interest
All authors declared that there are no conflicts of interest
Ethical approval and consent to participate
Not applicable.
Consent for publication
Not applicable.
Copyright
© The Author(s) 2019.
REFERENCES
1. Stoppa R, Petit J, Abourachid H, Henry X, Duclaye C, et al. Original procedure of groin hernia repair: interposition without fixation of
Dacron tulle prosthesis by subperitoneal median approach. Chirurgie 1973;99:119-23.
2. Rives J, Lardennois B, Pire JC, Hibon J. Large incisional hernias. The importance of flail abdomen and of subsequent respiratory disorders.
Chirurgie 1973;99:547-63.
3. Iqbal CW, Pham TH, Joseph A, Mai J, Thompson GB, et al. Long-term outcome of 254 complex incisional hernia repairs using the
modified Rives-Stoppa technique. World J Surg 2007;31:2398-404.
4. Mehrabi M, Jangjoo A, Tavoosi H, Kahrom M, Kahrom H. Long-term outcome of Rives-Stoppa technique in complex ventral incisional
hernia repair. World J Surg 2010;34:1696-701.
5. Ramirez OM, Ruas E, Dellon AL. “Components separation” method for closure of abdominal-wall defects: an anatomic and clinical
study. Plast Reconstr Surg 1990;86:519-26.
6. Kumar S, Edmunds RW, Dowdy C, Chang YW, King R, et al. Anterior versus posterior component separation: which is better? Plast
Reconstr Surg 2018;142:47S-53.
7. Novitsky YW, Porter JR, Rucho ZC, Getz SB, Pratt BL, et al. Open preperitoneal retrofascial mesh repair for multiply recurrent ventral
incisional hernias. J Am Coll Surg 2006;203:283-9.
8. Carbonell AM, Cobb WS, Chen SM. Posterior components separation during retromuscular hernia repair. Hernia 2008;12:359-62.
9. Novitsky YW, Elliott HL, Orenstein SB, Rosen MJ. Transversus abdominis muscle release: a novel approach to posterior component
separation during complex abdominal wall reconstruction. Am J Surg 2012;204:709-16.
10. Criss CN, Petro CC, Krpata DM, Seafler CM, Lai N, et al. Functional abdominal wall reconstruction improves core physiology and
quality-of-life. Surgery 2014;156:176-82.

