title: "Component separation" technique and panniculectomy for repair of incisional hernia.
abstract: BACKGROUND
  Primary incisional hernia repair is rarely successful, with recurrence rates ranging from 18% to 62%. We describe the integration of "components separation" herniorrhaphy with panniculectomy.
  
  
  METHODS
  Twenty-two patients were treated. Standard panniculectomies and component separation were performed. Intravesical pressure was measured preoperatively, intraoperatively, and postoperatively. Measurement variations were compared using the Wilcoxon test. Complications or hernia recurrence were evaluated. The clinical appearance of the abdomen was subjectively evaluated by patients.
  
  
  RESULTS
  Secure abdominal defect closure with midline approximation of the fascia was achieved in all patients. No major early complications occurred. Hernia recurred in 1 patient (4.5%). Intra-abdominal pressure increased in all the patients in our series but remained well below the danger level. Fifteen patients were fully satisfied with the appearance of their abdomen, whereas 7 were satisfied.
  
  
  CONCLUSIONS
  Abdominal component separation provides a reliable autologous reconstructive option. Hernia repair combined with abdominoplasty provides functional and esthetic benefits.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Perugia, Via Portuense 331, 00149 Rome, Italy. mazzocc@mclink.it
authors.forename: Marco
authors.initials: M
authors.lastname: Mazzocchi
authors.forename: Luca Andrea
authors.initials: LA
authors.lastname: Dessy
authors.forename: Raul
authors.initials: R
authors.lastname: Ranno
authors.forename: Bruno
authors.initials: B
authors.lastname: Carlesimo
authors.forename: Corrado
authors.initials: C
authors.lastname: Rubino
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D013526:Surgical Mesh; D013536:Suture Techniques; D016896:Treatment Outcome; D014945:Wound Healing