Journal of the American College of Surgeons
Volume 214, Issue 2 , Pages 131-139 , February 2012

Violation of the Rectus Complex Is Not a Contraindication to Component Separation for Abdominal Wall Reconstruction

Presented at the American College of Surgeons 97th Annual Clinical Congress, San Francisco, CA, October 2011.

Received 6 September 2011 ,Revised 22 October 2011 ,Accepted 31 October 2011.

References 

  1. Ramirez OM , Ruas E , Dellon AL . “Components separation” method for closure of abdominal-wall defects: an anatomic and clinical study . Plast Reconstr Surg . 1990;86:519–527
  2. Levine JP , Karp NS . Restoration of abdominal wall integrity as a salvage procedure in difficult recurrent abdominal wall hernias using a method of wide myofascial release . Plast Reconstr Surg . 2001;107:707–716
  3. DiBello JN , Moore JH . Sliding myofascial flap of the rectus abdominis muscles for the closure of recurrent ventral hernias . Plast Reconstr Surg . 1996;98:464–469
  4. de Vries Reilingh TS , van Goor H , Rosman C , et al.  “Components separation technique” for the repair of large abdominal wall hernias . J Am Coll Surg . 2003;196:32–37
  5. Girotto JA , Ko MJ , Redett R , et al.  Closure of chronic abdominal wall defects: a long-term evaluation of the components separation method . Ann Plast Surg . 1999;42:385–395
  6. Shestak KC , Edington HJ , Johnson RR . The separation of anatomic components technique for the reconstruction of massive midline abdominal wall defects: anatomy, surgical technique, applications, and limitations revisited . Plast Reconstr Surg . 2000;105:731–740
  7. Lowe JB , Garza JR , Bowman JL , et al.  Endoscopically assisted “components separation” for closure of abdominal wall defects . Plast Reconstr Surg . 2000;105:720–729
  8. Maas SM , de Vries RS , van Goor H , et al.  Endoscopically assisted “components separation technique” for the repair of complicated ventral hernias . J Am Coll Surg . 2002;194:388–390
  9. Ventral Hernia Working Group Breuing K , Butler CE , et al.   Incisional ventral hernias: review of the literature and recommendations regarding the grading and technique of repair . Surgery . 2010;148:544–558
  10. Maas SM , van Engeland M , Leeksma NG , Bleichrodt RP . A modification of the “components separation” technique for closure of abdominal wall defects in the presence of an enterostomy . J Am Coll Surg . 1999;189:138–140
  11. Cobb WS , Harris JB , Lokey JS , et al.  Incisional herniorrhaphy with intraperitoneal composite mesh: a report of 95 cases . Am Surg . 2003;784–787
  12. Luijendijk RW , Hop WC , van den Tol MP , et al.  A comparison of suture repair with mesh repair for incisional hernia . N Engl J Med . 2000;343:392–398
  13. Burger JW , Luijendijk RW , Hop WC , et al.  Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia . Ann Surg . 2004;240:578–585
  14. de Vries R , van Goor H , Charbon JA , et al.  Repair of giant midline abdominal wall hernias: “components separation technique” versus prosthetic repair . World J Surg . 2007;31:756–763
  15. Voyles CR , Richardson JD , Bland KI , et al.  Emergency abdominal wall reconstruction with polypropylene mesh: short-term benefits versus long-term complications . Ann Surg . 1981;194:219–223
  16. Leber GE , Garb JL , Alexander AI , Reed WP . Long-term complications associated with prosthetic repair of incisional hernias . Arch Surg . 1998;133:378–382
  17. Awad ZT , Puri V , LeBlanc K , et al.  Mechanisms of ventral hernia recurrence after mesh repair and a new proposed classification . J Am Coll Surg . 2005;201:132–140
  18. Wangensteen O . Repair of large abdominal defects by pedicled fascial flaps . Surg Gynecol Obstet . 1946;82:144
  19. Ger R , Duboys E . The prevention and repair of large abdominal-wall defects by muscle transposition: a preliminary communication . Plast Reconstr Surg . 1983;72:170–176
  20. Williams JK , Carlson GW , deChalain T , et al.  Role of tensor fasciae latae in abdominal wall reconstruction . Plast Reconstr Surg . 1998;101:713–718
  21. Ninkovic M , Kronberger P , Harpf C , et al.  Free innervated latissiums dorsi muscle flap for reconstruction of full-thickness abdominal wall defects . Plast Reconstr Surg . 1998;101:971–978
  22. Butler CE , Campbell K . Minimally invasive component separation with inlay bioprosthetic mesh (MICSIB) for complex abdominal wall reconstruction . Plast Reconstr Surg . 2011;128:698–709
  23. Sacks JM , Butler CE . Outcomes of complex abdominal wall reconstruction with bioprosthetic mesh in cancer patients . Plast Reconstr Surg . 2008;121:39
  24. Garvey PB , Buchel EW , Pockaj BA , et al.  The deep inferior epigastric perforator flap for breast reconstruction in overweight and obese patients . Plast Reconstr Surg . 2005;115:447–457
  25. Kroll SS , Netscher DT . Complications of TRAM flap breast reconstruction in obese patients . Plast Reconstr Surg . 1989;84:886–893
  26. Spear SL , Ducic I , Cuoco F , Taylor N . Effect of obesity on flap and donor-site complications in pedicled TRAM flap breast reconstruction . Plast Reconstr Surg . 2007;119:788–795
  27. Vyas RM , Dickinson BP , Fastekjian JH , et al.  Risk factors for abdominal donor-site morbidity in free flap breast reconstruction . Plast Reconstr Surg . 2008;121:1519–1526
  28. Benoist S , Panis Y , Alves A , Valleur P . Impact of obesity on surgical outcomes after colorectal resection . Am J Surg . 2000;179:275–281
  29. Choban PS , Flancbaum L . The impact of obesity on surgical outcomes: a review . J Am Coll Surg . 1997;185:593–603
  30. Jiganti JJ , Goldstein WM , Williams CS . A comparison of the perioperative morbidity in total joint arthroplasty in the obese and nonobese patient . Clin Orthop Relat Res . 1993;289:175–179
  31. Prasad US , Walker WS , Sang CT , et al.  Influence of obesity on the early and long term results of surgery for coronary artery disease . Eur J Cardiothorac Surg . 1991;5:67–73
  32. Jandali S , Nelson JA , Sonnad SS , et al.  Breast reconstruction with free tissue transfer from the abdomen in the morbidly obese . Plast Reconstr Surg . 2011;127:2206–2213
  33. Itani KM , Rosen M , Vargo D , et al.  Prospective multicenter clinical study of single-stage repair of infected or contaminated abdominal incisional hernias using Strattice reconstructive tissue matrix . Abstract In: American College of Surgeons 96th Clinical Congress . Washington DC. October 5, 2010;
  34. Espinosa-de-los-Monteros A , de la Torre JI , Marrero I , et al.  Utilization of human cadaveric acellular dermis for abdominal hernia reconstruction . Ann Plast Surg . 2007;58:264–267
  35. Ko JH , Salvay DM , Paul BC , et al.  Soft polypropylene mesh, but not cadaveric dermis, significantly improves outcomes in midline hernia repairs using the components separation technique . Plast Reconstr Surg . 2009;124:836–848
  36. Ko JH , Wang EC , Salvay DM , et al.  Abdominal wall reconstruction: lessons learned from 200 “components separation” procedures . Arch Surg . 2009;144:1047–1055

 Disclosure Information: Authors have nothing to disclose. Timothy J Eberlein, Editor-in-Chief, has nothing to disclose.

 This research is supported in part by the National Institutes of Health through MD Anderson's Cancer Center Support Grant CA016672.

PII: S1072-7515(11)01225-7

doi: 10.1016/j.jamcollsurg.2011.10.015

Journal of the American College of Surgeons
Volume 214, Issue 2 , Pages 131-139 , February 2012

Article Tools

* Image Usage & Resolution