Bilateral transversus abdominis release: Complex hernia repair without sacrificing quality of life - 10/02/22
Abstract |
Background |
Transversus Abdominis Release (TAR) during ventral hernia repair (VHR) allows for further lateral dissection by dividing the transversus abdominis muscles (TAM). The implications of division of the TAM on clinical and patient-reported outcomes has not be extensively studied.
Methods |
Adult patients undergoing retrorectus (RR) VHR with biosynthetic mesh with or without bilateral TAR were retrospectively identified. Post-operative and patient-reported outcomes (PROs) were collected.
Results |
Of 50 patients, 24 underwent TAR and 26 had RR repair alone. Median defect sizes were 449 cm2 and 208 cm2, respectively (p < 0.001). Rates of SSO and SSI were similar (p > 0.05). One TAR patient (4.2%) and four RR patients (15.4%) recurred (p = 0.26), with median follow up of 24 and 38 months. PROs improved significantly in both groups (p < 0.05).
Conclusion |
Despite more complex abdominal wall reconstruction on larger defects, TAR has minimal major adverse events, low recurrence rates, and does not negatively affect PROs.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Improved quality of life after transversus abdominis release. |
• | Low recurrence after abdominal wall reconstruction with transversus abdominis release. |
• | Transversus abdominis release has comparable outcomes to retrorectus repair alone. |
Keywords : Retrorectus, Transversus abdominis release, Component separation, Outcomes, Patient reported outcomes, Quality of life
Abbreviations : Transversus abdominus Release, Transversus abdominus muscles, Patient reported outcomes measure, Retromuscular repair, Poly-4-hydroxybutyrate, Surgical site occurrences, Surgical site infections, Abdominal Hernia Questionnaires, Hernia-Related Quality of Life Surveys, Quality of Life, Ventral hernia, Anterior component separation, Posterior component separation, Ventral hernia repair, Electronic medical record, REDCap, Surgical site occurrences/infections requiring procedural intervention, Enterocutaneous, Venous thromboembolism, Computed Tomography, American Society of Anesthesiology, Ventral Hernia Working Group, Standard deviations
Plan
Vol 223 - N° 2
P. 250-256 - février 2022 Retour au numéro
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