Anterior component separation, external retrofascial approach: Is that an option?
BACKGROUND AND AIMS: The eventration involves a highly variable surgical entity with a wide range of possible surgical techniques for its repair, without having found a “Gold Standard” technique. With these animal study, we propose a possible and useful surgical procedure for hernia repair. MATERIAL...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | International Journal of Abdominal Wall and Hernia Surgery |
| Subjects: | |
| Online Access: | http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2020;volume=3;issue=3;spage=100;epage=104;aulast=Capitán |
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| author | Mikel Osorio Capitán Lander Gallego Otaegui Ignacio Aguirre Allende Aintzane Lizarazu Perez Laura Carballo Rodriguez Iñigo Augusto Ponce Maria Isabel Bollo Arocena Javier López Monclús |
| author_facet | Mikel Osorio Capitán Lander Gallego Otaegui Ignacio Aguirre Allende Aintzane Lizarazu Perez Laura Carballo Rodriguez Iñigo Augusto Ponce Maria Isabel Bollo Arocena Javier López Monclús |
| author_sort | Mikel Osorio Capitán |
| collection | DOAJ |
| description | BACKGROUND AND AIMS: The eventration involves a highly variable surgical entity with a wide range of possible surgical techniques for its repair, without having found a “Gold Standard” technique. With these animal study, we propose a possible and useful surgical procedure for hernia repair.
MATERIALS AND METHODS: We present a modified technique of the anterior component separation (ACS) based on a release of the external oblique muscle from a posterior anatomical approach, accessing the space from the retrofascial space of the anterior sheath of the rectus abdominis muscle. The technique was performed in an experimental animal model with pigs of the “Large White” breed of 20-25 kg since the pig is a good representative model of human anatomy and its abdominal wall.
RESULTS: The technique was performed in an experimental animal model with pigs of the “Large White” breed. The procedure through the anterior retrofascial space of the rectus abdominal muscle was easily done, allowing the access to the inter-oblique space and facilitating the release of the external oblique muscle.
CONCLUSION: Waiting for its clinical application, the ACS by its external retrofascial space approach could be an interesting surgical resource for incisional hernia repair. |
| first_indexed | 2024-12-14T22:23:42Z |
| format | Article |
| id | doaj.art-ec1b15cadb0e4ceabd40b8ffa3c32d69 |
| institution | Directory Open Access Journal |
| issn | 2589-8078 |
| language | English |
| last_indexed | 2024-12-14T22:23:42Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Abdominal Wall and Hernia Surgery |
| spelling | doaj.art-ec1b15cadb0e4ceabd40b8ffa3c32d692022-12-21T22:45:26ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-80782020-01-013310010410.4103/ijawhs.ijawhs_16_20Anterior component separation, external retrofascial approach: Is that an option?Mikel Osorio CapitánLander Gallego OtaeguiIgnacio Aguirre AllendeAintzane Lizarazu PerezLaura Carballo RodriguezIñigo Augusto PonceMaria Isabel Bollo ArocenaJavier López MonclúsBACKGROUND AND AIMS: The eventration involves a highly variable surgical entity with a wide range of possible surgical techniques for its repair, without having found a “Gold Standard” technique. With these animal study, we propose a possible and useful surgical procedure for hernia repair. MATERIALS AND METHODS: We present a modified technique of the anterior component separation (ACS) based on a release of the external oblique muscle from a posterior anatomical approach, accessing the space from the retrofascial space of the anterior sheath of the rectus abdominis muscle. The technique was performed in an experimental animal model with pigs of the “Large White” breed of 20-25 kg since the pig is a good representative model of human anatomy and its abdominal wall. RESULTS: The technique was performed in an experimental animal model with pigs of the “Large White” breed. The procedure through the anterior retrofascial space of the rectus abdominal muscle was easily done, allowing the access to the inter-oblique space and facilitating the release of the external oblique muscle. CONCLUSION: Waiting for its clinical application, the ACS by its external retrofascial space approach could be an interesting surgical resource for incisional hernia repair.http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2020;volume=3;issue=3;spage=100;epage=104;aulast=Capitáncomponent separationexternal oblique muscle releaseexternal retrofascial approach |
| spellingShingle | Mikel Osorio Capitán Lander Gallego Otaegui Ignacio Aguirre Allende Aintzane Lizarazu Perez Laura Carballo Rodriguez Iñigo Augusto Ponce Maria Isabel Bollo Arocena Javier López Monclús Anterior component separation, external retrofascial approach: Is that an option? International Journal of Abdominal Wall and Hernia Surgery component separation external oblique muscle release external retrofascial approach |
| title | Anterior component separation, external retrofascial approach: Is that an option? |
| title_full | Anterior component separation, external retrofascial approach: Is that an option? |
| title_fullStr | Anterior component separation, external retrofascial approach: Is that an option? |
| title_full_unstemmed | Anterior component separation, external retrofascial approach: Is that an option? |
| title_short | Anterior component separation, external retrofascial approach: Is that an option? |
| title_sort | anterior component separation external retrofascial approach is that an option |
| topic | component separation external oblique muscle release external retrofascial approach |
| url | http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2020;volume=3;issue=3;spage=100;epage=104;aulast=Capitán |
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