Evidence map›Paper›PMID 41918023›Full record

ArticleWorld journal of emergency surgery : WJES2026

Early and late outcomes of component separation with transversus abdominis release with mesh augmentation versus primary suturing for the management of abdominal dehiscence: a retrospective comparative study.

Tamer A A M Habeeb, Abdulzahra Hussain, Jose Bueno-Lledó, Mariano Eduardo Giménez, Alberto Aiolfi, Ahmed Abdelsamad, Massimo Chiaretti, Igor A Kryvoruchko, Mallikarjuna N Manangi, Mohamed Tag El-Din and 38 more

Abstract readComparative Study
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Article in World journal of emergency surgery : WJES, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

Authors and funding

48 authors.

Tamer A A M HabeebDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt. tameralnaimy@hotmail.com.
Abdulzahra HussainSheffield University, Sheffield, UK.
Jose Bueno-LledóHospital Universitari i Politècnic la Fe, Valencia, Spain.
Mariano Eduardo GiménezUniversity of Strasbourg, Strasbourg, France.
Alberto AiolfiDivision of General Surgery, Department of Biomedical Science for Health, I.R.C.C.S. Ospedale Galeazzi-Sant'Ambrogio, University of Milan, Milan, Italy.
Ahmed AbdelsamadDepartment of Surgery II, University of Witten/Herdecke, Witten, Germany.
Massimo ChiarettiDepartment of General Surgery Specialties and Organ Transplant, Faculty of Pharmacy and Medicine, Sapienza Rome University, Rome, Italy.
Igor A KryvoruchkoDepartment of Surgery No. 2, Kharkiv National Medical University, Kharkiv, Ukraine.
Mallikarjuna N ManangiDepartment of General Surgery, Bengaluru, India.
Mohamed Tag El-DinGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Nasreldin Mohammed AlgalalyGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Ibrahim ShalameshGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Fathy LabibGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Walid Rafat Abdelaty AbdelfattahGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohammed AbbasGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mostafa Mahmoud Salama MostafaGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mahmoud E NagatyGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Hassan Mohamed ElkaseerGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mahmoud Abd Alhady Abd Alaziz Abd AlhadyGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed Fayez OthmanDepartment of General Surgery, Faculty of Medicine for Girls, Cairo Al Azhar University, Cairo, Egypt.
Hamdi ElbelkasiMataryia Teaching Hospital (GOTHI), Cairo, Egypt.
Mohamed Ibrahim Abo AlsaadGeneral Surgery Department-Faculty of Medicine, Merit University, Sohag, Egypt.
Mahmoud Moustafa Al-ShareefDepartment of General Surgery, Tanta University, Tanta, Egypt.
Amr KhalilGeneral Surgery Department, Al-Ahrara Teaching Hospital, Zagazig, Egypt.
Abouelatta K H AliMisr University for Science and Technology, Cairo, Egypt.
Maged Z YoussefGeneral Surgery department, Faculty of Medicine, October 6 University, 6th of October City, Egypt.
Mohamed Adel SaqrPlastic and Reconstructive Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mohamad Naeem ElnahasPlastic and Reconstructive Surgery Department, Faculty of Medicine, Shebin Teaching Hospital, Menoufia, Egypt.
Asmaa Mohamed AbdelhadyDepartment of Gynecology and Obstetrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mahmoud Abubakr NegmDepartment of Gynecology and Obstetrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mohammed BarakatDepartment of Gynecology and Obstetrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Bassam MousaDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Alaa A FiadDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mahmoud Abdou YassinDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mostafa M KhairyDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Tamer WasefyDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ahmed M El TelitiDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ahmed Salah ArafaDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Hasnaa MetwallyDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Taha A BiomyDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Baher AtefDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Adel MorsiDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mohamed Mahmoud AlmeniawyDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mohamed Abdallah ZaitounDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ahmed Attia SalehDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mohamed LotfyDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mohamed Mahmoud Mokhtar MohamedDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Abd Elwahab M HamedDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbdominal dehiscence (AD) is a serious postoperative complication associated with a high risk of morbidity. Traditional primary suture repair (PS) is a simple but biomechanically deficient procedure. This study compared the early and late outcomes of posterior component separation (CS) using the transversus abdominis release (TAR) technique with mesh augmentation (MA) and PS for AD management. MATERIALS AND

methodsThis retrospective study included 252 patients who underwent surgical repair for complete AD Bjork Grade 1 A between January 2014 and September 2020. The patients were divided into two groups: CS + TAR+MA (Group A, n = 107) and primary suture (PS) repair (Group B, n = 145). The primary outcome was short-term morbidity (within 90 days), including surgical site occurrence (surgical site infection [SSI], hematoma, and seroma), pneumonia, ileus, and recurrent AD (RAD). The secondary outcomes were the incidence and risk factors of IH after AD repair. The patients were followed up for 5 years. Statistical analysis was performed using Kaplan-Meier survival analysis and multivariate logistic regression.

resultsThe baseline characteristics of the two groups were comparable. Group A was associated with a longer median operative time (92 (88-100) vs. 89 (84-91) min, p < 0.001) and mean hospital stay (11.2 ± 1.9 vs. 5.8 ± 1.5 days, p < 0.001), and higher rates of seroma (22.4% vs. 11.0%, p = 0.01) and hematoma (3.7% vs. 0%, p = 0.01). The SSI rates were comparable between the two groups (7.5% vs. 4.1%, p = 0.2). The incidence of IH was significantly lower in Group A than in Group B (5.6% vs. 13.1%, p = 0.04). Kaplan-Meier analysis confirmed the superior long-term IH-free survival in Group A (log-rank test, p = 0.009). Group A also had a lower RAD rate (1.9% vs. 7.6%, p = 0.04). Multivariate analysis revealed that PS repair (OR 40.0, 95% CI 2.1-78.0; p = 0.01), SSI (OR 13.4, 95% CI 2.3-77.6; p = 0.004), pneumonia (OR 12.3, 95% CI 1.9-77.5; p = 0.007), high BMI (OR 2.9, 95% CI 1.06-4.1; p = 0.03), ileus (OR 16.6, 95% CI 2.2-121.9; p = 0.006), RAD (OR 10.7, 95% CI 1.5-73.3; p = 0.01), infected mesh (OR 14.6, 95% CI 1.8-117; p = 0.01), and old age (OR 1.07, 95% CI 1.006-1.15; p = 0.03) significantly increased the risk of IH after AD repair. Elevated serum albumin levels were protective (OR 0.1, 95% CI 0.0-0.7; p = 0.02).

conclusionGroup A repair for AD was associated with a significantly reduced risk of IH and RAD compared to PS. Despite a higher rate of initial complications, such as seroma and hematoma, Group A provided more durable and definitive reconstruction. PS repair confers a 40-fold increased risk of IH and should be reconsidered in favor of tension-free Group A management of AD.

Indexed as

Abdominal MusclesSurgical MeshSurgical Wound DehiscenceSuture TechniquesAgedFemaleHumansKaplan-Meier EstimateLogistic ModelsMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeAbdominal dehiscenceComponent separationIncisional herniaSurgical site infectionTension suturingTransversus abdominis release

Identifiers

PMID41918023
PMCPMC13064292

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