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dc.contributor.authorSan Miguel Méndez, Carlos
dc.contributor.authorLópez Monclús, Javier
dc.contributor.authorMuñoz Rodríguez, Joaquín
dc.contributor.authorRobin Valle de Lersundi, Álvaro 
dc.contributor.authorArtes Caselles, Mariano
dc.contributor.authorBlázquez Hernando, Luis Alberto
dc.contributor.authorGarcía Hernández, Juan Pablo
dc.contributor.authorMinaya Bravo, Ana
dc.contributor.authorGarcía Ureña, Miguel Ángel
dc.description.abstractBackground Management of subcostal incisional hernias is particularly complicated due to their proximity to the costochondral limits in addition to the lack of aponeurosis on the lateral side of the abdomen. We present our results of posterior component separation through the same previous incision as a safe and reproducible technique for these complex cases. Methods We present a multicenter and prospective cohort of patients diagnosed with bilateral subcostal incisional hernias on either clinical examination or imaging based on computed tomography from 2014 to 2020. The aim of this investigation was to assess the outcomes of abdominal wall reconstruction for subcostal incisional hernias through a new approach. The outcomes reported were short- and long-term complications, including recurrence, pain, and bulging. Quality of life was assessed with the European Registry for Abdominal Wall Hernias Quality of Life score. Results A total of 46 patients were identified. All patients underwent posterior component separation. Surgical site occurrences occurred in 10 patients (22%), with only 7 patients (15%) requiring procedural intervention. During a mean follow-up of 18 (range, 6–62), 1 (2%) case of clinical recurrence was registered. In addition, there were 8 (17%) patients with asymptomatic but visible bulging. The European Registry for Abdominal Wall Hernias Quality of Life score showed a statistically significant decrease in the 3 domains (pain, restriction, and cosmetic) of the postoperative compared with the preoperative scores. Conclusion Posterior component separation technique for the repair of subcostal incisional hernias through the same incision is a safe procedure that avoids injury to the linea alba. It is associated with acceptable morbidity, low recurrence rate, and improvement in patients’ reported
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.subjectSubcostal incisional herniaspa
dc.subjectTransversus abdominis releasespa
dc.subjectAbdominal wall reconstructionspa
dc.subjectComplex herniaspa
dc.subjectPosterior component separationspa
dc.subjectLiver transplantationspa
dc.titleStepwise transversus abdominis muscle release for the treatment of complex bilateral subcostal incisional
dc.description.extent371 KBspa

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Atribución-NoComercial-SinDerivadas 3.0 España
Except where otherwise noted, this item's license is described as Atribución-NoComercial-SinDerivadas 3.0 España