ArticleSurgical endoscopy2022
Reverse TAR may be added when necessary in open preperitoneal repair of lateral incisional hernias: a retrospective multicentric cohort study.
Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.
- Outcomes of surgical repair of acquired lateral abdominal wall hernias: a meta-analysis.Surgical endoscopy · 2025Pooled it
- Systematic review and meta-analysis of the incidence of incisional hernia in urological surgery.Langenbeck's archives of surgery · 2024Pooled it
- Standardization of the latero-medial preperitoneal/pretransversalis dissection in PeTEP ventral hernia repair: single-center outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Surgical management and outcomes of complex lateral hernias: a specialized hernia center experience.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Cranial approach for preperitoneal/pretransversalis enhanced-view totally extraperitoneal (PeTEP) hernia repair: a novel technique description and early outcomes.Surgical endoscopy · 2025Observational
- Robotic-assisted surgery for lateral ventral hernias - experience of robot-assisted methods for retromuscular and preperitoneal abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Long-term outcomes of Madrid approach after TAR for complex abdominal wall hernias: a single-center cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
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Authors and funding
10 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe best approach for lateral incisional hernia is not known. Posterior component separation (reverse TAR) offers the possibility of using the retromuscular space for medial extension of the challenging preperitoneal plane. The aim of our multicenter study was to compare the operative and patient-reported outcomes measures (PROMs) using two open surgical techniques from the lateral approach: a totally preperitoneal vs a reverse TAR.
methodsA retrospective cohort study was performed since 2012 to 2020. Patients with lateral incisional hernia treated through a lateral approach were identified from a prospectively maintained multicenter database. Reverse TAR was added when the preperitoneal plane could not be safely dissected. The results obtained using these two lateral approaches were compared, including short- and long-term complications, as well as PROMs, using the specific tool EuraHSQoL.
resultsA total of 61 patients were identified. Reverse TAR was performed in 33 patients and lateral retromuscular preperitoneal approach in 28 patients. Both groups were comparable in terms of sociodemographic and comorbidities variables. Surgical site occurrences occurred in 13 cases (21.3%), with 8 patients (13.1%) requiring procedural intervention. During a median follow-up of 34 months, no incisional hernia recurrence was registered. There was a case (1.6%) of symptomatic bulging that required reoperation. Also 12 patients (19.7%) presented an asymptomatic bulging. No statistically significant difference was identified in the complications and PROMs between the two procedures.
conclusionThe open lateral retromuscular reconstruction using very large meshes that reach the midline has excellent long-term results with acceptable postoperative complications, including PROMs. A reverse TAR may be added, when necessary, without increasing complications and obtaining similar long-term results.
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