Abstract

TRANSVERSUS ABDOMINIS MUSCLE RELEASE (TAR) IN HUGE INCISIONAL HERNIA – A CASE REPORT

*Dr. Nikita Kharwade, Dr. Nitin Nalawade

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Abstract

An incisional hernia[1] is a type of ventral hernia[3] that occurs at the site of previous surgical incision. It develops when the abdominal wall fails to heal properly after surgery, leading to a weakness or defect through which abdominal contents may protrude. Huge incisional hernias and complex abdominal wall reconstructions are challenging in terms of primary closure with typical operating techniques due to extensive fascial defects, loss of domain and high recurrence rates. Component separation techniques (CST) allows the mobilization of large musculofascial flaps of the abdominal wall and was developed for the treatment of very large and incisional abdominal wall hernias. The posterior component separation (PCS)[4] with transversus abdominis muscle release (TAR)[4,5,6] is an evolution of the Rives-Stoppa-Wantz technique and presents major advances of complex abdominal wall reconstruction surgery.

Keywords: Incisional Hernia, Posterior component separation, Transversus abdominis muscle release (TAR), retrorectus (sublay) mesh repair, Rives-Stoppa.