Tailored Approach to Ventral Hernia—Our Proposed Algorithm

Excerpt

Ventral hernia surgery is undergoing a sea of change. There is an increasing trend towards Abdominal Wall Reconstruction for complex hernias. There is also a shift from Anterior Component Separation Technique (ACST) to Posterior Component Separation Technique (PCST) with Transversus Abdominis Release (TAR) after encouraging results were reported by the pioneer of TAR, Dr. Yuri Novitsky [1]. Another advancement is posterior component separation with minimal access leading to new procedures and nomenclatures like Extended Totally Extraperitoneal Rives-Stoppa (eTEP-RS) and Extended Totally Extraperitoneal Transversus Abdominis Release (eTEP-TAR) pioneered and popularized by Dr. Igor Belyansky [2]. …