Component separation hernia repair

What is abdominal component separation? The UCSF Hernia Center provides the latest treatments for complex ventral hernias , such as the progressive pneumoperitoneum procedure, a specialized approach for treating particularly large ventral hernias. It is used to reconstitute the linea alba, reduce abdominal wall tension, and provide a dynamic abdominal wall in patients with large abdominal wall defects.

This component separation technique restores the structural support of the abdominal wall, provides stable soft tissue coverage, and optimizes esthetic appearance of complex abdominal wall defects and giant mid line abdominal wall hernias. In this procedure the surgeon raises an abdominal muscle flap on both sides and mobilizes them to the center to close the hernia defect without tension.

Open component separation is used almost exclusively for midline ventral hernia defects, whether they are single or multiple, when the use of synthetic or biologic mesh is not an option for repair. The repair of large incisional hernias is a daunting problem for a surgeon to face. Debridement of devitalized tissue and removal of mesh. Flap advancement, right and left, bilateral, with component separation. The surface area was x 25.

Complex hernias XE “Hernia:repairs:Stoppa’s technique:complex” frequently necessitate. Recurrence rates of this techniques can be as low as. The options for closing large and complex abdominal wall defects, including primary repair , mesh, and distant muscle flaps, have yielded suboptimal (1).

Component Separation Techniques. Abdominal fascial component separation was utilized to repair incisional hernias in 1patients. All procedures were performed by a single surgeon in private practice. No trauma patients were treated during this perio and there were no instances of extensive acute tissue loss. I have largely abandoned doing so since the process weakens the sides of the abdominal wall.

Often, in the presence of a large abdominal wall hernia , the combination of abdominal wall repair directly with an abdominoplasty work best. We sought to study surgical outcomes in this high-risk group of patients in a community hospital. This surgical technique is based on subcutaneous lateral dissection, fasciotomy lateral to the rectus abdominis muscle, and dissection on the plane between external and internal oblique muscles with medial. Our surgeon did a bilateral component separation utilizing myofascial flaps and an incicisonal hernia repair with mesh. Was this the correct codes to bill.

The component separation technique (CST) was introduced for abdominal wall reconstruction to treat large, complex hernias (). When a hernia is large or more. Separation of the components has become the standard of care for abdominal wall reconstruction, especially in the setting of infecte previously infecte or contaminated wounds.

Although the safety and efficacy of this technique have been establishe less is known about long-term outcomes. Complex Hernia Surgeries Our plastic surgeons perform advanced techniques, including component separation and mesh repair to fix complex hernias including ventral hernias, also known as incisional hernias. The procedure strengthens and reconstructs a weakened abdominal wall and restores displaced muscles.

At Total Hernia Repair Center, Dr. He separates and advances the abdominal wall muscle layers to lengthen the reach of each side towards the midline to restore the structural support of the abdominal wall, provide stable soft tissue coverage and optimize esthetic appearance of complex abdominal wall defects and large midline abdominal wall hernias. In the components separation hernia technique, also called the “separation of parts procedure”, the tight external oblique muscles on both sides of the abdominal wall are cut, to allow the paired rectus muscles to be brought together in the center.

The external oblique muscle is not remove but rather is weakened with a surgical incision. Cobb Retro Rectus Ventral Hernia Repair - Duration: 6:04. Ethicon 22views.