Open ventral hernia repair with component separation

Surg Clin North Am. 2013 Oct;93(5):1111-33. doi: 10.1016/j.suc.2013.06.010. Epub 2013 Jul 25.


In this article, the authors describe their current operative technique for open ventral hernia repair using component separation. Although methods of anterior component separation are described, in their current practice, the authors primarily use posterior component separation with transversus abdominis release to permit dissection beyond the retrorectus space. This method adheres to the literature-supported principles of a tension-free midline fascial closure with wide mesh overlap of mesh positioned in a sublay position. The authors' experience with this method supports a low recurrence rate and reduced wound morbidity.

Keywords: Abdominal wall reconstruction; Incisional hernia; Retromuscular hernia repair; Rives-Stoppa technique; Transversus abdominis release (TAR); Ventral hernia.

Publication types

  • Review

MeSH terms

  • Abdominal Wall / anatomy & histology
  • Abdominal Wall / pathology
  • Abdominal Wall / surgery*
  • Hernia, Ventral / pathology
  • Hernia, Ventral / surgery*
  • Herniorrhaphy / instrumentation
  • Herniorrhaphy / methods*
  • Humans
  • Postoperative Care / methods
  • Postoperative Complications / diagnosis
  • Postoperative Complications / therapy
  • Preoperative Care / methods
  • Surgical Mesh
  • Treatment Outcome