ArticleHernia : the journal of hernias and abdominal wall surgery2017
Modified components separation technique: experience treating large, complex ventral hernias at a University Hospital.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Prehabilitation of complex ventral hernia patients with Botulinum: a systematic review of the quantifiable effects of Botulinum.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Perforator-sparing component separation reduces lateral pseudo-bulging in large incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- A practical algorithm for the combined use of preoperative progressive pneumoperitoneum and botulinum toxin A in large incisional hernia repair: learnings after 15 years of experience.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Complications related to the prehabilitation with preoperative pneumoperitoneum in loss of domain hernias: our experience in 180 consecutive cases.Hernia : the journal of hernias and abdominal wall surgery · 2024Observational
- [Incisional hernia: open abdominal wall reconstruction. Current state of the technique and results].Chirurgie (Heidelberg, Germany) · 2024Review
- Modified Chevrel technique for abdominal closure in critically ill patients with abdominal hypertension and limited options for closure.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Adjunct botox to preoperative progressive pneumoperitoneum for incisional hernia with loss of domain: no additional effect but may improve outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Component separation and large incisional hernia: predictive factors of recurrence.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Simultaneous Complex Incisional Hernia Repair and Bariatric Surgery for Obese Patients: a Case Series of a Single-Center Early Experience.Journal of metabolic and bariatric surgery · 2021Article
- Erratum: The "Corset Repair" for Complex Hernia: A Proof-of-concept Report of an Innovative Approach-Erratum.Plastic and reconstructive surgery. Global open · 2021Article
- Biosynthetic Resorbable Prosthesis is Useful in Single-Stage Management of Chronic Mesh Infection After Abdominal Wall Hernia Repair.World journal of surgery · 2021Article
- Combining anterior and posterior component separation for extreme cases of abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Retromuscular mesh and hernial sac technique in the reconstruction of 139 cases of large median incisional hernias: one institution's experience.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Preoperative Botulinum Toxin and Progressive Pneumoperitoneum in Loss of Domain Hernias-Our First 100 Cases.Frontiers in surgery · 2020Article
- Predictors of hernia recurrence after Rives-Stoppa repair in the treatment of incisional hernias: a retrospective cohort.Surgical endoscopy · 2019Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAn increasing number of patients have large or complex abdominal wall defects. Component separation technique (CST) is a very effective method for reconstructing complex midline abdominal wall defects in a manner that restores innervated muscle function without excessive tension. Our goal is to show our results by a modified CST for treating large ventral hernias. MATERIALS AND
methodsA total of 351 patients with complex ventral hernias have been treated over a 10-year period. Pre- and postoperative CT scans were performed in all patients. All ventral hernias were W3, according to the EHS classification 1. We analyzed demographic variables, co-morbidities, hernia characteristics, operative, and postoperative variables.
resultsOne hundred and seventy patients (48.4%) were men; the average age of the study population was 51.6 ± 23.2 years with an average BMI of 32.3 ± 1.3. The hernia was located in the midline in 321 cases (91.5%) versus the flank in 30 (8.5%). In 45 patients, preoperative botulinum toxin (BT) and progressive pneumoperitoneum (PPP) were needed due to giant hernia defects when the VIH/VAC ratio was >20%. Postoperative complications related to the surgical site were seroma (35.1%), hematoma (9.1%), infection (7.2%), and wound necrosis (8.8%). Complications related to the repair were evisceration in 3 patients (1.1%), small bowel fistula in 4 patients (1.5%), 11 cases of mesh infection (2.9%), and abdominal compartment syndrome (ACS) in 2 patients. There were 29 hernia recurrences (8.2%) with a mean follow-up of 31.6 ± 8.1 months.
conclusionThe modified CST is an effective strategy for managing complex ventral hernias that enables primary fascial closure with low rates of morbidity and hernia recurrence.
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