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“Component separation” technique and panniculectomy for repair of incisional hernia

Mazzocchi, Marco and Dessy, Luca Andrea and Ranno, Raul and Carlesimo, Bruno and Rubino, Corrado (2011) “Component separation” technique and panniculectomy for repair of incisional hernia. The American Journal of Surgery, Vol. 201 (6), p. 776-783. eISSN 1879-1883. Article.

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DOI: 10.1016/j.amjsurg.2010.04.013

Abstract

Background
Primary incisional hernia repair is rarely successful, with recurrence rates ranging from 18% to 62%. We describe the integration of “components separation” herniorrhaphy with panniculectomy.
Methods
Twenty-two patients were treated. Standard panniculectomies and component separation were performed. Intravesical pressure was measured preoperatively, intraoperatively, and postoperatively. Measurement variations were compared using the Wilcoxon test. Complications or hernia recurrence were evaluated. The clinical appearance of the abdomen was subjectively evaluated by patients.
Results
Secure abdominal defect closure with midline approximation of the fascia was achieved in all patients. No major early complications occurred. Hernia recurred in 1 patient (4.5%). Intra-abdominal pressure increased in all the patients in our series but remained well below the danger level. Fifteen patients were fully satisfied with the appearance of their abdomen, whereas 7 were satisfied.
Conclusions
Abdominal component separation provides a reliable autologous reconstructive option. Hernia repair combined with abdominoplasty provides functional and esthetic benefits.

Item Type:Article
ID Code:5524
Status:Published
Refereed:Yes
Uncontrolled Keywords:“Components separation” technique, incisional hernia, panniculectomy, intravesical pressure, clinical appearance of the abdomen
Subjects:Area 06 - Scienze mediche > MED/19 Chirurgia plastica
Divisions:001 Università di Sassari > 03 Istituti > Dermatologia
Publisher:Elsevier
eISSN:1879-1883
Copyright Holders:© 2011 Elsevier Inc.
Deposited On:04 Mar 2011 16:59

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