A retrospective comparison of outcomes after open anterior and posterior component separation by a single surgical team

Punjani, Ramesh; Arora, Eham; Coughlin, Emily; Mhaskar, Rahul

doi:10.1007/s00423-022-02438-3

Cited by 2 publications

(3 citation statements)

References 26 publications

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“…Our study found that there was no statistically significant difference between the studied groups as regarding operative data. As mean operation time was 211.75 ± 45.8 vs 215.25 ± 38.44 minutes in group A & group B respectively, also most of wounds were clean which is consistent with the study [11] which proved that wound classification was clean in 100%vs 95.6%in ACS &PCS respectively. In contrast to the former study [10] which found that the mean operative time in group B was significantly higher than group A as mean operation time was 254.25±22.79 mins vs 267.5±16.1 mins in group A & group B respectively, with P value 0.040.…”

Section: Discussionsupporting

confidence: 88%

“…In contrast to the former study [10] which found that the mean operative time in group B was significantly higher than group A as mean operation time was 254.25±22.79 mins vs 267.5±16.1 mins in group A & group B respectively, with P value 0.040. A study found that the median operative time in PCS was signifcantly higher than in ACS (240 min Vs. 210 min, p<0.001) [11] . Also, another study [8] found that the mean operative time was significantly longer for ACST (227 minutes "vs. 276 minutes, p = 0.007) than that for TAR.…”

Section: Discussionmentioning

confidence: 89%

“…In the study done 2012 [2] the mean blood loss was 188 cc, which was less than our study because they were the first to describe the TAR technique, having more experience in this technique. Also, another study [11] found that PCS had signifcantly higher estimated intraoperative blood loss (240 cc vs. 175 cc, p< 0.001. It was reported that reported that the estimated blood loss for ACST on average was 189 cc while for TAR it was 225 cc (p = 0.296) no significant [8] .…”

Section: Discussionmentioning

confidence: 92%

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Comparative Study between Anterior Components Separation Versus Posterior Components Separation Technique in Repairing of Huge Ventral Hernia

M Nawar,

Elsayed,

M Deabs

et al. 2024

Benha Medical Journal

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Background: Ventral abdominal wall hernias of the complicate between 11% and 23% of all abdominal laparotomies, constituting a growing problem. Contemporary general surgeons are confronted with the significant challenge of performing dependable, longlasting ventral hernia repairs with minimal morbidity and recurrence. We aimed to compare between anterior components separation and posterior components separation technique in repair huge ventral hernia as regard degree of medialization myofascial flap, wound morbidity and recurrence rate. Methods: This prospective randomized controlled study was conducted on 62 huge incisional hernia patients aged more than 18 years old, both sexes. Group A: n= 31, underwent anterior component separation (CS). Group B: n= 31, underwent posterior CS. All patients underwent to detailed history full clinical examination and investigation. physical examination, laboratory examination [complete blood count, bleeding profile, renal and liver function tests, and fasting blood sugar], and radiological examination Results: A statistically significant distinction observed among the studied groups as regard seroma and wound infection which occurred more in anterior separation technique repair of huge incisional hernia. Conclusions: Anterior separation technique repair of huge incisional hernia is more liable to complications as seroma and wound infection than posterior separation technique repair of huge incisional hernia.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 92%

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Comparative Study between Anterior Components Separation Versus Posterior Components Separation Technique in Repairing of Huge Ventral Hernia

M Nawar,

Elsayed,

M Deabs

et al. 2024

Benha Medical Journal

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Modified Chevrel Technique: A Lifesaver for Surgeons

Dere,

Yazkan,

Şahin

et al. 2024

Medicina

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Background and Objectives: Ventral hernias (VH) pose significant challenges for surgeons due to the risk of recurrence, complexities in aligning abdominal muscles, and selecting the most suitable layer for mesh augmentation. This study aims to evaluate the effectiveness of utilizing the anterior rectus fascia as a turnover flap in conjunction with onlay mesh reinforcement, a procedure known as the modified Chevrel technique (MCT). Materials and Methods: We conducted a retrospective analysis of patients who were operated on using MCT for abdominal hernias between January 2013 and December 2019. Data were extracted from our hospital’s electronic database. Recurrence rates, as well as the rates of surgical site occurrences (SSO), surgical site infections (SSI), and surgical site occurrences requiring procedural intervention (SSOPI), were analyzed based on patients’ comorbidities and demographic characteristics. Results: The median follow-up period was 42.9 months (range: 14–96), and the recurrence rate was 4% (n = 3). Among the recurrent cases, three patients had chronic obstructive pulmonary disease, representing a statistically significant association (p = 0.02). Although all patients with recurrence were obese, this association did not reach statistical significance (p > 0.05). The mean hospitalization duration was 17.6 days (range: 6–29). SSO, SSI, and SSOPI rates were 39 (52%), 12 (16%), and 32 (42%), respectively. Conclusions: Managing VH remains a surgical challenge, emphasizing the importance of achieving effective abdominal closure for both functional and cosmetic outcomes. MCT presents a relatively simple approach compared to techniques like transversus abdominis release (TAR) and anterior component separation (ACS), with acceptable rates of SSO, SSOPI, SSI, and recurrence.

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A retrospective comparison of outcomes after open anterior and posterior component separation by a single surgical team

Cited by 2 publications

References 26 publications

Comparative Study between Anterior Components Separation Versus Posterior Components Separation Technique in Repairing of Huge Ventral Hernia

Comparative Study between Anterior Components Separation Versus Posterior Components Separation Technique in Repairing of Huge Ventral Hernia

Modified Chevrel Technique: A Lifesaver for Surgeons

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