Refinements and Advancements in Anterior Component Separation

Abstract

This chapter will explore the newest innovations for performing anterior component separation (CS). It will include open CS, perforator sparing CS and minimally invasive component separation (MICS). It will also address the use of various meshes and their plane of inset. It will cover soft tissue management including panniculectomy, quilting sutures and drains. Fascial closure techniques will also be included. The highlight of this chapter will be the description of tips and tricks of performing MICS. We will also touch upon preoperative preparation such as body mass index (BMI) optimization and smoking cessation as well as management of postoperative complications including surgical site infections, skin necrosis and seroma.