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Related Concept Videos

Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

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Related Experiment Video

Updated: May 7, 2026

Use of a Rat Model to Study Ventral Abdominal Hernia Repair
05:47

Use of a Rat Model to Study Ventral Abdominal Hernia Repair

Published on: October 2, 2017

Open ventral hernia repair with component separation.

Eric M Pauli1, Michael J Rosen

  • 1Department of Surgery, Penn State Hershey Medical Center, 500 University Drive, H149, Hershey, PA 17036, USA.

The Surgical Clinics of North America
|September 17, 2013
PubMed
Summary
This summary is machine-generated.

This study details an open ventral hernia repair technique using posterior component separation and transversus abdominis release. This method achieves tension-free closure and mesh overlap, resulting in low recurrence and reduced wound issues.

Keywords:
Abdominal wall reconstructionIncisional herniaRetromuscular hernia repairRives-Stoppa techniqueTransversus abdominis release (TAR)Ventral hernia

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Area of Science:

  • Abdominal surgery
  • Hernia repair techniques
  • Surgical innovation

Background:

  • Ventral hernias present complex surgical challenges.
  • Component separation is a key technique for large ventral hernia repair.
  • Minimizing recurrence and wound morbidity are critical goals.

Purpose of the Study:

  • To describe the authors' current operative technique for open ventral hernia repair.
  • To highlight the use of posterior component separation with transversus abdominis release.
  • To present outcomes regarding recurrence and wound morbidity.

Main Methods:

  • Open ventral hernia repair utilizing component separation.
  • Primary use of posterior component separation with transversus abdominis release.
  • Tension-free midline fascial closure with sublay mesh placement and wide overlap.

Main Results:

  • The described technique facilitates dissection beyond the retrorectus space.
  • Adherence to literature-supported principles of tension-free closure and mesh overlap.
  • Authors' experience shows a low recurrence rate.
  • Reduced wound morbidity was observed with this approach.

Conclusions:

  • Posterior component separation with transversus abdominis release is an effective method for open ventral hernia repair.
  • The technique supports tension-free closure and optimal mesh positioning.
  • This approach is associated with favorable outcomes in terms of recurrence and morbidity.