Abstract
The unique presentation of complex hernias requires a wide range of repair options. Posterior component separation via a transversus abdominis muscle release has increased in popularity owing to the natural anatomic extension from a retromuscular approach. However, endoscopic anterior component separation remains an important and effective technique in selected patients as an adjunct to both open and laparoscopic AWR. Advantages of ECS include the ease of operation with recognizable anatomy, minimal risk of dividing the incorrect layer and destabilizing the lateral abdominal wall, and finally, its effectiveness and low morbidity. Additionally, when paired with minimally invasive AWR techniques (intraperitoneal onlay mesh [IPOM], transabdominal preperitoneal [TAPP], extended-view totally extraperitoneal [eTEP]), endoscopic anterior component separation allows for a fast, efficient, and safe complementary technique to facilitate midline advancement.
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Daes, J., Chen, D.C. (2017). Endoscopic Component Separation Techniques. In: Hope, W., Cobb, W., Adrales, G. (eds) Textbook of Hernia. Springer, Cham. https://doi.org/10.1007/978-3-319-43045-4_32
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DOI: https://doi.org/10.1007/978-3-319-43045-4_32
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