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01-12-2024 | Incision | Research Highlight

How I Do It: Madrid posterior component separation in 10 steps, with special consideration of its anatomy

Authors: Marcello De Luca, Javier López-Monclús, Joaquin Manuel Muñoz-Rodríguez, Luis Alberto Blázquez Hernando, Alvaro Robin Valle de Lersundi, Manuel Medina Pedrique, Laura Román-García de León, Adriana Avilés Oliveros, Miguel Ángel García-Ureña

Published in: Langenbeck's Archives of Surgery | Issue 1/2024

Abstract

Purpose

The Madrid Posterior Component Separation technique (Madrid PCS) is an approach for abdominal wall reconstruction that leverages anatomical landmarks to optimize outcomes. This manuscript describes ten essential steps for performing the Madrid PCS, focusing on technique, safety, and efficiency.

Methods

A comprehensive step-by-step approach is outlined, beginning with the initial incision and adhesiolysis, progressing through retromuscular dissection, and concluding with lateral release and subxiphoid dissection. Emphasis is placed on key anatomical landmarks, tissue planes, and surgical maneuvers critical for each phase. Detailed tips and tricks, challenging scenarios, and potential risks are provided to enhance the reproducibility and safety of the procedure.

Results

Applying these ten steps provides an organized and methodical approach to the Madrid PCS. The focus on anatomical landmarks minimizes the risk of complications such as nerve injury, peritoneal tears, and inadvertent organ damage, while ensuring for the optimal placement of prosthetic materials.

Conclusion

Adherence to these ten steps, based on anatomical landmarks, significantly improves the safety and effectiveness of the Madrid PCS technique. By understanding the nuances of the procedure, surgeons can achieve consistent and reproducible results in complex abdominal wall reconstructions.

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Title: How I Do It: Madrid posterior component separation in 10 steps, with special consideration of its anatomy
Authors: Marcello De Luca
Javier López-Monclús
Joaquin Manuel Muñoz-Rodríguez
Luis Alberto Blázquez Hernando
Alvaro Robin Valle de Lersundi
Manuel Medina Pedrique
Laura Román-García de León
Adriana Avilés Oliveros
Miguel Ángel García-Ureña
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Keyword: Incision
Published in: Langenbeck's Archives of Surgery / Issue 1/2024
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-024-03528-0

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How I Do It: Madrid posterior component separation in 10 steps, with special consideration of its anatomy

Abstract

Purpose

Methods

Results

Conclusion

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