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Updated: Feb 17, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Components-separation technique for closure of transverse non-midline abdominal wall incisional hernia
Antonio Espinosa-de-los-Monteros1, Bernardo Franssen, Vicente Orozco
1Department of Plastic Surgery, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico. aedlms@hotmail.com
Abstract:
The components-separation technique was originally described and has been popularised for the treatment of large midline hernias. In this report, we indicate that components separation can also be applied for the closure of transverse non-midline hernias, provided the largest diameter of the defect (i.e., the transverse axis) corresponds to a size typically amenable to be closed by this technique. This idea will help surgeons in considering technical options available when facing patients with transverse incisional hernias and not willing to add prosthetic materials to a complicated abdominal wall.
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