الفهرس 
Anatomy of the Anterior Abdominal WallOnly 14 pages are availabe for public view
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Abstract
Component separation is the ideal management for large ventral abdominal hernia. There are different techniques of component separation used for repair. The most popular of them are posterior component separation with transversus abdominis release and anterior component separation. In this study we aimed to compare between both techniques in management of large midline ventral abdominal hernia.
This study is a prospective comparative study on 40 patients diagnosed as having large midline ventral abdominal hernia with surface area defect between 300-600 cm2 with defect width >10cm presented to Ain-Shams University hospitals. Patients were divided into two groups, 20 patients in each, group (A) underwent hernial repair by anterior component separation (ACS) and group (B) underwent hernial repair by using posterior component separation with transversus abdominis muscle release (PCS-TAR).
We had no statistically significant difference in the preoperative demographics data between both groups. As regarding the operative data, the mean operative time in (PCS-TAR) group was significantly higher than (ACS) group (267.5 min. versus 254.25 min respectively). There was a non-significant difference in blood loss between both groups. Regarding the post-operative data, the mean time of drain removal was significantly higher in (ACS) group than (PCS-TAR) group (14.9 days versus 13.6 days respectively). The incidence of wound seroma and infection was significantly higher in (ACS) group than (PCS-TAR) group. After 12 months of follow up, we had only on case (5%) with recurrence in (PCS-TAR) group versus 6 patients (30%) in (ACS) group and this difference was statistically significant.