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Related Concept Videos

Muscles of the Abdomen01:21

Muscles of the Abdomen

The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and anterior...

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Related Experiment Video

Updated: Jul 7, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Posterior components separation during retromuscular hernia repair.

A M Carbonell1, W S Cobb, S M Chen

  • 1Division of Minimal Access and Bariatric Surgery, Department of Academic Surgery, Greenville Hospital System University Medical Center, Greenville, SC 29605, USA. acarbonell@ghs.org

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|February 23, 2008
PubMed
Summary

This novel retromuscular ventral hernia repair technique creates significant mesh overlap for massive hernias. It allows for robust abdominal wall reconstruction, reducing recurrence risk.

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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Related Experiment Videos

Last Updated: Jul 7, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Area of Science:

  • Abdominal wall reconstruction
  • Surgical innovation
  • Hernia repair techniques

Background:

  • Retromuscular ventral hernia repair using mesh is a proven durable method.
  • Massive ventral hernias present challenges for adequate mesh coverage.
  • A novel technique is presented to achieve substantial mesh overlap in the retromuscular space.

Purpose of the Study:

  • To describe a new surgical technique for retromuscular ventral hernia repair.
  • To facilitate significant mesh overlap in the retromuscular space for large hernias.
  • To address the challenges of repairing massive ventral hernias.

Main Methods:

  • Developing the retromuscular space laterally to the rectus sheath edge.
  • Incising the posterior rectus sheath and posterior aponeurosis of the internal oblique.
  • Dissecting between the internal oblique and transversus abdominis muscles to create space for mesh underlay.

Main Results:

  • The technique was successfully applied in 20 patients with large defects (mean 223 cm²).
  • A large mesh area (mean 698 cm²) was utilized, ensuring adequate coverage.
  • Low complication rates were observed, with no long-term pain or deformity reported; one recurrence occurred.

Conclusions:

  • Dissection between internal oblique and transversus abdominis muscles enables closure of large defects.
  • The technique provides mobility for posterior sheath closure and rectus muscle reconstruction.
  • This approach allows for effective abdominal wall reconstruction in massive ventral hernias.