Subject: Complex hernia
Subject: incisional hernia
Subject: abdominal hernia repair
Subject: transverse abdominal muscle release
Subject: TAR
Year: 2020
Type: Article
Title: TRANSVERSUS ABDOMINIS RELEASE: A CASE REPORT
Author: Aleksandar Mitevski
Author: Ilija Milev
Author: Shenol Tahir
Author: Nikola Trokovski
Author: Petar Markov
Author: Nikoloska, Katerina
Abstract: Introduction: Patients with large abdominal wall defects experience significant deformity, pain and decreased energy due to a loss of normal abdominal wall mechanics, severely impacting their quality of life.Reconstructive techniques for complex ventral hernia repair are numerous but most of them are unable to achieve the goals of hernioplasty. Posterior component separation with transverses abdominis muscle release (TAR) is a novel approach that offers a solution for complex ventral hernias. Case: A 59 year old patient was admitted to our hospital for treatment of clinically and radiologically verified incisional hernia with 20% loss of domain characteristics, acquired after cesarean section and hysterectomy. Discussion/Conclusion: Typical reconstructive techniques may struggle to reestablish abdominal domain and to create a lasting repair. Posterior component separation with transversus abdominis release is a novel technique that offers a durable solution to a variety of complex ventral hernias.The lack of sufficient tissue requires the insertion of prosthetic material or transposition of autologous material to bridge the fascial gap.Retromuscular or sublay hernia repair with mesh has proven to be a durable technique for ventral hernia defects, and completely avoids subcutaneous flap elevation. TAR allows for significant posterior rectus fascia advancement, wide lateral dissection, preservation of the neurovascular supply, avoids subcutaneous tissue undermining and provides a large space for mesh sublay which allowsfor bilaminarin growth of the mesh.
Publisher: Association of Albanian Medical Doctors in Macedonia
Relation: Medicus
Identifier: oai:repository.ukim.mk:20.500.12188/9259
Identifier: 1409-6366
Identifier: http://hdl.handle.net/20.500.12188/9259
