Is the Anterior component separation technique sufficient for ventral hernia?

Abstract

Background: Large ventral hernia continued to possess a great challenge to general surgeon. Historically a variety of permutation and combination of repair have evolved. However, no single surgical repair can meet the requirement completely. A combination of component separation accompanied with mesh repair needs to be studied and analyse. Aim: To study percentage of patients required only anterior or both (anterior and posterior) component separation. Methods: 30 Patient undergoing component separation were evaluated. Tissue repair comprises of component separation with creation of flap from rectus sheath in order to breach midline and creation of new midline. This followed by preperitoneal (retro rectus) or above the rectus muscle polypropylene soft mesh enforcement with complete cover over mesh by anterior rectus sheath. So, in our patients mesh never fixed above the rectus sheath. Results: In our study we realised that most of the large defect hernias are required more anterior compartment separation. Both compartments separation is required only in complex, and more than 10 cm defect of anterior abdominal wall hernia. Conclusion: Anterior component separation is often required and enough for abdominal wall reconstruction with good cosmetic contour without any recurrence than both component separation.