Abdominal wall reconstruction: A case series of ventral hernia repair using the component separation technique with biologic mesh

Keith Hood, Keith Millikan, Troy Pittman, Matthew Zelhart, Brian Secemsky, Meenakshi Rajan, Jonathan Myers, Minh Luu

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Sixty-eight consecutive patients from October 2008 until February 2012 were selected for this retrospective review. Methods: A midline fascial closure with component separation was completed using biologic mesh onlay in all cases. Recurrence rates of the hernias, complication rates, patient satisfaction, and time to return to work/normal activities were investigated. Results: The recurrence rate was 1.5% (n = 65) with ongoing follow-ups (mean = 20 months). The average age was 57 years, and the average body mass index was 36 kg/m2 (range 22 to 60). The average hernia defect was 20 cm (range 12 to 26) transversely. Wound infection and/or breakdown occurred in 32%, and seroma formation occurred in 9% of patients. Patient satisfaction was 3.63 of 4. The average time to return to work/normal activities was 16 weeks (range 1 to 76 weeks). Conclusions: Large complex ventral hernias can be reliably repaired using the component separation technique. The short-term recurrence rate is significantly reduced in this case series using a biologic mesh onlay.

Original languageEnglish (US)
Pages (from-to)322-328
Number of pages7
JournalAmerican journal of surgery
Volume205
Issue number3
DOIs
StatePublished - Mar 1 2013

Keywords

  • Biologic mesh onlay
  • Separation of components
  • Ventral hernia repair

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Abdominal wall reconstruction: A case series of ventral hernia repair using the component separation technique with biologic mesh'. Together they form a unique fingerprint.

Cite this