ArticleLangenbeck's archives of surgery2018
How we do it: down to up posterior components separation.
Article in Langenbeck's archives of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Short-term outcomes of minimally invasive techniques in posterior component separation for ventral hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Predictive factors for complexity in abdominal wall hernias: a literature scope review.Revista do Colegio Brasileiro de Cirurgioes · 2024Pooled it
- Robotic ventral hernia repair versus non-robotic techniques: a SAGES systematic review and meta-analysis.Surgical endoscopy · 2026Article
- The Posterior Rectus Sheath Incision (PRSI) to allow the repair of Spigelian Hernias by TEP.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Essential Anatomy for the Abdominal Wall Surgeon: Expert Consensus of Anatomical Concepts and Operative Steps for Posterior Component Separation.World journal of surgery · 2025Article
- Enhanced view totally extraperitoneal approach: A better alternative to transabdominal preperitoneal approach for irreducible inguinoscrotal and giant inguinal hernias!Journal of minimal access surgery · 2025Article
- Robotic Surgical Procedures for Ventral Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Review
- Role of sarcopenia in complex abdominal wall surgery: does it increase postoperative complications and mortality?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- "Fully endoscopic preperitoneal ascending suprapubic approach for minimally invasive repair of anterior and lateral abdominal wall hernias".Hernia : the journal of hernias and abdominal wall surgery · 2024Observational
- Short-Term Outcomes of Transabdominal Preperitoneal Ventral Hernia Repair With Rectus Aponeuroplasty (TAPPRA) for the Management of Incisional Hernias.Journal of abdominal wall surgery : JAWS · 2024Article
- Posterior Component Separation Technique-Original Transversus Abdominis Release (TAR) Technique.Journal of abdominal wall surgery : JAWS · 2024Review
- Anatomical Variation of Abdominal Wall Musculature: An Objective Assessment Using Cross-Sectional Imaging.Journal of abdominal wall surgery : JAWS · 2024Article
- An established abdominal wall multidisciplinary team improves patient care and aids surgical decision making with complex ventral hernia patients.Annals of the Royal College of Surgeons of England · 2024Article
- The Madrid Posterior Component Separation: An Anatomical Approach for Effective Reconstruction of Complex Midline Hernias.Journal of abdominal wall surgery : JAWS · 2024Article
- Limitations of Transversus Abdominis Release (TAR)-Additional Bridging of the Posterior Layer And/Or Anterior Fascia Is the Preferred Solution in Our Clinical Routine If Primary Closure is Not Possible.Journal of abdominal wall surgery : JAWS · 2024Article
- The use of a porcine model to teach advanced abdominal wall dissection techniques.Surgical endoscopy · 2023Article
- Pathways of the preperitoneal plane: from the "fatty triangle" in Rives to the "fatty trident" in extended retromuscular abdominal wall reconstruction. A tribute to Prof. Schumpelick.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Stapled VTEP (sVTEP), diastasis and the "swollen abdomen".Surgical endoscopy · 2022Article
- [Management of lateral abdominal wall hernias].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2022Review
- Assessing Textbook Outcome After Implementation of Transversus Abdominis Release in a Regional Hospital.Journal of abdominal wall surgery : JAWS · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPosterior component separation with transversus abdominis release technique is increasingly being used for abdominal wall reconstruction in complex abdominal wall repair. The main purpose of this study is to present a modification of the surgical technique originally described that facilitates the surgical procedure and offers additional advantages.
methodsBased on the knowledge of the anatomy of the retromuscular space and the preperitoneal aerolar tissue distribution, we start the incision on the posterior rectus sheath from the arcuate line in a down to up direction. The posterior rectus sheath is incised 0,5-1 cm medial to the linea semilunaris and cut longitudinally as far as the fibers of transversus abdominis muscle that are divided in the superior part of the abdomen. It is also possible to avoid cutting the fibers of this muscle if we incise the posterior rectus sheath in an oblique direction to the midline from the umbilical area. Since 2012 to 2016, 69 consecutive patients with down to up TAR have been prospectively followed. Main outcome measures included demographics, perioperative details, wound complications, and recurrences.
resultsBetween 2012 and 2016, we have operated 69 patients with down to up TAR technique. Mean operative time was 251 (range 65-566) minutes. Mean hospital stay was 9,8 (2-98) days. 10 patients presented surgical site events (14,5%): 6 patients had superficial site infection, 3 deep and 1 organ space. During follow-up, 3 patients (4,3%) presented incisional hernia recurrence.
conclusionsThis novel modification allows a simpler dissection of the preperitoneal retromuscular space and makes the TAR technique easier to perform. It also enables to incise only the insertion of the transversalis fascia cranially.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.