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Endoscopic Component Separation for Ventral Hernia Repair

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Options in the Management of the Open Abdomen

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Abstract

Incisional hernias are chronic post-incisional abdominal wall defects which result in the protrusion of abdominal contents through the incisional opening. These defects, which Jean Rives initially referred to as a “disease process,” are a serious complication of abdominal surgery and primarily contribute to chronic pain, bowel obstruction, strangulation, incarceration, while secondarily resulting in a reduction in quality of life and employment. Ramirez et al. first described their component separation technique for complex abdominal wall hernia repairs, which utilized a technique that separated individual muscle components of the abdominal wall. This allowed greater mobilization of each unit over a greater distance, facilitating tension-free abdominal wall closure for patients with very large and complex incisional hernias. However, this technique resulted in significant morbidity and postoperative complications due to the mobilization of large undermining skin flaps, seroma formation under Gallaudet’s fascia, and skin necrosis.

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Author information

Authors and Affiliations

  1. Department of General Surgery, Markey Cancer Center, University of Kentucky Medical Center, 800 Rose Street, 40506, Lexington, KY, USA

    Jennifer W. Harris MD

  2. Department of General Surgery, University of Kentucky College of Medicine, Lexington, KY, USA

    John Scott Roth MD

Authors
  1. Jennifer W. Harris MD
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  2. John Scott Roth MD
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Correspondence to Jennifer W. Harris MD .

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Editors and Affiliations

  1. Trauma & Surgical Critical Care The Reading Hospital, University of Pennsylvania Perelman School of Medicine, West Reading, Pennsylvania, USA

    Firas G. Madbak

  2. Trauma & General Surgery Department of Surgery, Central Maine Medical Center, Lewistown, Maine, USA

    Dale A. Dangleben

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Harris, J., Roth, J. (2015). Endoscopic Component Separation for Ventral Hernia Repair. In: Madbak, F., Dangleben, D. (eds) Options in the Management of the Open Abdomen. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1827-0_7

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  • DOI: https://doi.org/10.1007/978-1-4939-1827-0_7

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