SynthesisSurgical endoscopy2020
Minimally invasive component separation technique for large ventral hernia: which is the best choice? A systematic literature review.
Synthesis in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- The concept of Laparoscopic Intracorporeal Rectus Aponeuroplasty (LIRA) technique in complex abdominal hernias based on size and location.BMC surgery · 2026Article
- Safety and efficacy of retromuscular-onlay dual-mesh reconstruction for massive abdominal wall defects secondary to abdominal wall endometriosis resection.Updates in surgery · 2026Article
- Comprehensive bibliometric and visualized analysis of research on incisional hernia and component separation from 1996 to 2023.JPRAS open · 2025Review
- The ACTIVE study: surgical outcomes for minimally invasive and open approach to incisional ventral hernias in a non-elective setting.Updates in surgery · 2025Article
- Follow-up of complex hernia repair with intraoperative fascial traction.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Comparison of open and endoscopic posterior component separation with transversus abdominis release: a propensity score-matched study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Application of bridging mesh repair in giant ventral incisional hernia.Updates in surgery · 2024Article
- Revisiting large complex ventral hernia repair: multimodal hybrid technique deploying preoperative Botulinum Toxin A injection, laparoscopic anterior components separation and open mesh repair.Updates in surgery · 2024Article
- Laparoscopic intracorporeal rectus aponeuroplasty (LIRA) technique versus intraperitoneal onlay mesh (IPOM plus) for ventral hernia repair: a comparative analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Comparing Open and Robotic Unilateral Transversus Abdominis Release in Incisional Hernias With a Lateral Component: A Single Center Retrospective Study.Journal of abdominal wall surgery : JAWS · 2024Article
- Article
- Abdominal wall defect repair with component separation technique for giant omphalocele with previous relaxing incisions on the abdominal skin.Surgical case reports · 2023Article
- Primary closure of the midline abdominal wall defect during laparoscopic ventral hernia repair: analysis of risk factors for failure and outcomes at 5 years follow-up.Surgical endoscopy · 2022Article
- Endoscopic transversus abdominis release in the treatment of midline incisional hernias: a prospective single-center observational study on 100 patients.Hernia : the journal of hernias and abdominal wall surgery · 2022Observational
- Open versus robotic-assisted laparoscopic posterior component separation in complex abdominal wall repair.BJS open · 2022Article
- Case Report: Intraoperative Fascial Traction in Robotic Abdominal Wall Surgery; An Early Experience.Journal of abdominal wall surgery : JAWS · 2022Article
- A structured pathway for developing your complex abdominal hernia service: our York pathway.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Endoscopic preaponeurotic access for complex ventral hernia repair with sublay mesh and bilateral anterior component separation: A case report.Annals of medicine and surgery (2012) · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAim of the present systematic review is to compare the postoperative outcomes after minimally invasive anterior and posterior component separation technique (CST), in terms of postoperative morbidity and recurrence rates.
methodsNine-hundred and fifty-nine articles were identified through Pubmed database. Of these, 444 were eliminated because were duplicates between the searches. Of the remaining 515 articles, 414 were excluded after screening title and abstract. One hundred and one articles were fully analysed, and 73 articles were further excluded, finally including 28 articles. Based on the surgical technique, three groups were created: Group A, endoscopic anterior CST and closure of the abdominal midline by laparotomy; Group B, endoscopic anterior CST and closure of the abdominal midline laparoscopically or robotically; Group C, laparoscopic or robotic posterior CST with transversus abdominal muscle release (TAR).
resultsIn group A, B and C, 196, 120 and 236 patients were included, respectively. Surgical and medical complication rates for the three groups were 31.2% and 13.7% in group A, 15.8% and 4.1% in group B, and 17.8% and 25.4% in group C, while recurrence rate was 10.7%, 6.6% and 0.4%, respectively. Statistically significant differences were observed in terms of surgical postoperative complication rate between group A versus B (p = 0.0022) and between group A versus C (p = 0.0015) and of recurrence rate between group A versus C (p = < 0.0001) and B versus C (p = 0.0009).
conclusionsAnterior CST with midline closure by laparotomy showed the worst results in terms of postoperative surgical complications and recurrence in comparison to the pure minimally anterior and posterior CST. Posterior CST-TAR showed lowest hospital stay and recurrence rate, although the follow-up is short. However, due to the poor quality of most of the studies, further prospective studies and randomized control trials, with wider sample size and longer follow-up are required to demonstrate which is the best surgical option.
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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.