A transverse abdominis release and posterior component separation for large incisional hernia

Abstract

Incisional hernias are a common complication of abdominal surgeries. About one third of all abdominal surgeries are prone to develop incisional hernias. An incisional hernia occurs at / or in close proximity to the surgical incision through which the contents of the abdomen may protrude. The incidence further increases in emergency procedures. This is one such case of a large incisional hernia in a patient who underwent emergency laparotomy for ileal perforation and presented with a large incisional hernia 3 months later. Transverse Abdominis Release with Posterior Component Separation was done and the patient was discharged on 11th postoperative day. Transverse abdominis release is a durable and reliable surgical repair for large incisional hernias.