OC-021 TRANSVERSUS ABDOMINIS MUSCLE RELEASE FOR THE TREATMENT OF COMPLEX BILATERAL SUBCOSTAL INCISIONAL HERNIAS

Autor: M Medina Pedrique, A Avilés Oliveros, S Morejon Ruiz, C San Miguel Méndez, J Muñoz Rodriguez, J López Monclus, A De Robin Valle De Lersundi, M Á García-Ureña
Rok vydání: 2023
Předmět:
Zdroj: British Journal of Surgery. 110
ISSN: 1365-2168
0007-1323
Popis: Aim To assess the outcomes of abdominal wall reconstruction for subcostal incisional hernias through a new approach. We present our results of posterior component separation through the previous incision as a safe and reproducible technique for complex cases. Material & Methods A multicenter and prospective cohort of patients diagnosed with bilateral subcostal incisional hernias on either clinical examination or imaging based on computed tomography from 2014 to 2020 was gathered. The outcomes reported were short and long-term complications, including recurrence, pain, and bulging. Quality of life was assessed with the European Registry for Abdominal Wall Hernias Quality of Life score. Results A total of 46 patients were identified. All patients underwent posterior component separation. Surgical site occurrences occurred in 10 patients (22%), with only 7 (15%) requiring procedural intervention. During a mean follow-up of 18 months (range, 6–62 months), 1 (2%) case of clinical recurrence was registered. Also, there were 8 (17%) patients with asymptomatic but visible bulging. The European Registry for Abdominal Wall Hernias Quality of Life score showed a statistically significant decrease in the 3 variables (pain, restriction, and cosmetic) of the postoperative scores compared with the preoperative score. Conclusion Posterior component separation technique for the repair of subcostal incisional hernias through the same incision is a safe procedure that avoids injury to the linea alba. It is associated with acceptable morbidity, low recurrence rate, and improvement in patient's reported outcomes.
Databáze: OpenAIRE
Externí odkaz: