Component separation in the treatment of incisional hernias

Incisional hernia repair following open laparotomy or laparoscopic abdominal surgery is a significant challenge for the general surgeon. Primary suture closure results in high rates of recurrence, and permanent mesh reinforcement is not routinely used in contaminated surgical fields. The use of component separation to allow for low-tension, prosthetic-free incisional hernia repair has improved outcomes in these challenging surgical circumstances.