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01-10-2020 | Minimally Invasive Surgery | Original Scientific Report

Short- to Midterm Results After Posterior Component Separation with Transversus Abdominis Release: Initial Experience from India

Authors: Pallawi Priya, Nimisha Kantharia, Jugal B. Agrawal, Abhay Agrawal, Laksh Agrawal, Md Yusuf Afaque, Amjad Syed Ali Rizvi, Sarfaraz J. Baig

Published in: World Journal of Surgery | Issue 10/2020

Abstract

Purpose

Posterior component separation with transversus abdominis release is a new procedure and is quickly gaining popularity. It has shown promising results in terms of low recurrence rates for large and complex hernias. However, there are very little Indian data available on this to date. The purpose of this study was to assess the outcomes of the technique at three centers in India.

Methods

This was a retrospective analysis of the prospectively collected data. Patients with a minimum follow-up of 3 months who underwent open or minimal access posterior component separation were included.

Results

A total of 72 patients (open = 44, minimal access = 25, and hybrid = 3) were included in the analysis. At a follow-up ranging from 3 months to 35 months, there were two recurrences (2.78%). Surgical site occurrences were seen in 23/72 (31.9%), and surgical site infection was seen in 7/72 (9.7%). Surgical site occurrence requiring procedural intervention was 3/72 (4.2%). There were two (2.78%) mortalities in the open group due to myocardial infarction.

Conclusion

Posterior component separation with transversus abdominis release may have advantages in terms of low recurrence in large hernias in the Indian population and can be used in carefully selected patients.

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Title: Short- to Midterm Results After Posterior Component Separation with Transversus Abdominis Release: Initial Experience from India
Authors: Pallawi Priya
Nimisha Kantharia
Jugal B. Agrawal
Abhay Agrawal
Laksh Agrawal
Md Yusuf Afaque
Amjad Syed Ali Rizvi
Sarfaraz J. Baig
Publication date: 01-10-2020
Publisher: Springer International Publishing
Keyword: Minimally Invasive Surgery
Published in: World Journal of Surgery / Issue 10/2020
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-020-05644-6

At a glance: The STEP trials

Springer Medicine

Short- to Midterm Results After Posterior Component Separation with Transversus Abdominis Release: Initial Experience from India

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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