Abdominal Wall Reconstruction with Component Separation

The principal goal of an abdominal wall reconstruction is to repair abdominal defects by restoring the continuity of the myofascial layer, providing functional structural support, and minimizing the risk of recurrence. Ramirez and colleagues originally described the components separation technique i...

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Main Authors: Eun Jeong Choi, Eun Key Kim
Format: Article
Language:English
Published: Korean Society of Acute Care Surgery 2018-10-01
Series:Journal of Acute Care Surgery
Subjects:
Online Access:http://www.jacs.or.kr/upload/pdf/jacs-8-43.pdf
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author Eun Jeong Choi
Eun Key Kim
author_facet Eun Jeong Choi
Eun Key Kim
author_sort Eun Jeong Choi
collection DOAJ
description The principal goal of an abdominal wall reconstruction is to repair abdominal defects by restoring the continuity of the myofascial layer, providing functional structural support, and minimizing the risk of recurrence. Ramirez and colleagues originally described the components separation technique in 1990. This technique accomplishes primary fascial closure over the midline through bilateral the external oblique aponeurotomis lateral to the linea semilunaris. Several techniques including the perforator-sparing technique, minimally invasive laparoscopic approaches, and posterior component separation have been developed to improve the outcomes. Managements, such as the use of synthetic and bioloprosthetic mesh, for reinforcement adjunctively have further decreased the rate of complications. Further refinements and prospective studies will be needed to achieve more durable repairs.
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spelling doaj.art-786c64b966c04c19acda221c4af6417e2023-09-18T06:54:57ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822018-10-0182435010.17479/jacs.2018.8.2.4362Abdominal Wall Reconstruction with Component SeparationEun Jeong Choi0Eun Key Kim1 Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea The principal goal of an abdominal wall reconstruction is to repair abdominal defects by restoring the continuity of the myofascial layer, providing functional structural support, and minimizing the risk of recurrence. Ramirez and colleagues originally described the components separation technique in 1990. This technique accomplishes primary fascial closure over the midline through bilateral the external oblique aponeurotomis lateral to the linea semilunaris. Several techniques including the perforator-sparing technique, minimally invasive laparoscopic approaches, and posterior component separation have been developed to improve the outcomes. Managements, such as the use of synthetic and bioloprosthetic mesh, for reinforcement adjunctively have further decreased the rate of complications. Further refinements and prospective studies will be needed to achieve more durable repairs.http://www.jacs.or.kr/upload/pdf/jacs-8-43.pdfventral herniaabdominal musclesreconstructive surgical procedures
spellingShingle Eun Jeong Choi
Eun Key Kim
Abdominal Wall Reconstruction with Component Separation
Journal of Acute Care Surgery
ventral hernia
abdominal muscles
reconstructive surgical procedures
title Abdominal Wall Reconstruction with Component Separation
title_full Abdominal Wall Reconstruction with Component Separation
title_fullStr Abdominal Wall Reconstruction with Component Separation
title_full_unstemmed Abdominal Wall Reconstruction with Component Separation
title_short Abdominal Wall Reconstruction with Component Separation
title_sort abdominal wall reconstruction with component separation
topic ventral hernia
abdominal muscles
reconstructive surgical procedures
url http://www.jacs.or.kr/upload/pdf/jacs-8-43.pdf
work_keys_str_mv AT eunjeongchoi abdominalwallreconstructionwithcomponentseparation
AT eunkeykim abdominalwallreconstructionwithcomponentseparation