SynthesisHernia : the journal of hernias and abdominal wall surgery2023
The outcomes of open anterior component separation versus posterior component separation with transversus abdominis release for complex incisional hernias: a systematic review and meta-analysis.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Outcomes of anterior component separation versus posterior component separation with transversus abdominis muscle release for large incisional hernias: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Anterior component separation techniques: is it necessary to preserve the perforators? a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Peritoneal flap hernioplasty for large ventral hernias: a systematic review and meta-analysis : PFH for large ventral hernia.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Anterior component separation versus posterior component separation with transversus abdominis release for large ventral hernias: a randomized controlled study.Updates in surgery · 2025Trial
- A randomized controlled trial of the outcomes of Arista™ hemostatic agent in robotic ventral hernia repair.Journal of robotic surgery · 2025Trial
- Understanding the perioperative morbidity associated with concomitant transversus abdominis release in retromuscular ventral hernia repair: a retrospective study.Surgical endoscopy · 2026Article
- Review
- Perforator-sparing component separation reduces lateral pseudo-bulging in large incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Incisional hernia repair using component separation with perforator preservation and onlay mesh: A pilot study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Anterior component separation for complex ventral hernias: outcomes of a tailored reconstruction strategy.Frontiers in surgery · 2026Article
- Reducing Transversus Abdominis Release Hernioplasty Operative Volume Using Preoperative Botulinum Toxin Injections.Cureus · 2025Article
- Predicting fascial non-closure in ventral hernia repair with transversus abdominis release: risk factors, clinical outcomes, and implications for surgical planning.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Follow-up of complex hernia repair with intraoperative fascial traction.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Case Report: Intraoperative Fascial Traction for Increasing Intra-Abdominal Volume in Loss-of-Domain Incisional Hernias: A Report of Two Cases.Journal of abdominal wall surgery : JAWS · 2025Article
- Review
- 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
- Early outcomes of open anterior versus posterior components separation with transversus abdominis release for large median incisional hernias: a retrospective stepwise analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Contemporary Abdominal Wall Reconstruction: Emerging Techniques and Trends.Journal of clinical medicine · 2024Review
- Posterior Component Separation Technique-Original Transversus Abdominis Release (TAR) Technique.Journal of abdominal wall surgery : JAWS · 2024Review
- The open abdomen in trauma, acute care, and vascular and endovascular surgery: comprehensive, expert, narrative review.BJS open · 2023Review
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
purposeThe main objective was to assess the prevalence of hernia recurrence, wound complications (surgical site infections [SSI], seroma and hematoma) and mortality after anterior component separation (ACS) and posterior component separation via transversus abdominis muscle release (PCSTAR) in patients with complex incisional hernias. The so-called complex IH is a serious medical and societal challenge due to its direct and indirect costs; it is also hampered by the use of different surgical techniques, different type of meshes, and different results heterogeneously reported and interpreted. According to actual data, the best approach seems to be a mesh reinforcement component separation procedure augmented or not with an adjuvant technique (preoperative progressive pneumoperitoneum and/or Botulin toxin type A infiltration).
methodsA systematic search of four databases (MEDLINE, PubMed, Web of Science, and Google Scholars) was conducted to identify studies reporting on outcomes of component separation techniques and which were published before December 2021. A systematic review and a meta-analysis of postoperative outcomes were performed.
resultsNineteen studies including 3412 patients (1709 with ACS and 1703 with PCSTAR) were selected. Pooled hernia recurrence rate after a minimum 1-year follow-up was evaluated at 5.15% (odds ratio [OR] 0.68; 95% confidence interval [CI] 0.5-0.9; p = 0.0175). Pooled surgical site infection rate was 10.6% (OR 1.32; 95% CI 1.06-1.65; p = 0.0119). Seroma and hematoma were estimated at 9.75% (OR 1.93; 95% CI 1.52-2.44; p = 0.0001) and 3.83% (OR 1.81; 95% CI 1.26-2.61; p = 0.0012), respectively. ACS was associated with increased wound morbidity, seroma and hematoma. PCSTAR displayed higher recurrence rate (4.27% vs 6.11%).
conclusionsPCSTAR was superior to ACS in terms of wound morbidity, surgical site infections, seroma and hematoma incidence. The procedure should be further evaluated in comparative head-to-head randomized controlled trials.
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