title: Synthetic and biological mesh in component separation: a 10-year single institution review.
abstract: Definitive repair of recurrent ventral hernias using abdominal wall reconstruction techniques is an essential tool in the armentarium for general and plastic surgeons. Despite the great morbidity associated with incisional hernia, no consensus exists on the best means for treatment (Korenkov et al, Langenbecks Arch Surg. 2001;386:65-73). Ramirez et al (Plast Reconstr Surg. 1990;83:519-526) describes the "component separation" technique to mobilize the rectus-abdominus internal oblique and external oblique flap to correct the defect. This retrospective institutional study reviewed 10 years of myofascial flap reconstruction from 1996 to 2006 at Thomas Jefferson University Hospital and revealed an 18.3% recurrence rate in 545 component separations. We identified obesity (body mass index >30 kg/m2), age >65 years old, male gender, postoperative seroma, and preoperative infection as risk factors for hernia recurrence.
authors.affiliation: Department of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Frederick C
authors.initials: FC
authors.lastname: Sailes
authors.forename: Jason
authors.initials: J
authors.lastname: Walls
authors.forename: Daria
authors.initials: D
authors.lastname: Guelig
authors.forename: Michael
authors.initials: M
authors.lastname: Mirzabeigi
authors.forename: William D
authors.initials: WD
authors.lastname: Long
authors.forename: Albert
authors.initials: A
authors.lastname: Crawford
authors.forename: John H
authors.initials: JH
authors.lastname: Moore
authors.forename: Steven E
authors.initials: SE
authors.lastname: Copit
authors.forename: Gary A
authors.initials: GA
authors.lastname: Tuma
authors.forename: James
authors.initials: J
authors.lastname: Fox
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001672:Biocompatible Materials; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D049291:Seroma / Q000453:epidemiology; D012737:Sex Factors; D013524:Surgical Flaps; D013526:Surgical Mesh; D016896:Treatment Outcome
chemical_list: D001672:Biocompatible Materials