Erschienen in:
01.08.2015 | Comment
Reply to comment to article: Posterior component separation with transversus abdominis release successfully addresses recurrent ventral hernias following anterior component separation. Bruce Tulloh, Andrew Charles de Beaux, DOI 10.1007/s10029-015-1391-4
verfasst von:
E. M. Pauli, M. J. Rosen
Erschienen in:
Hernia
|
Ausgabe 4/2015
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Excerpt
Thank you for these comments. To clarify, in this manuscript, we do not promote anterior component separation (ACS) as the preferred method of closure for large abdominal wall defects for several of the reasons you have outlined; a high wound infection and seroma rate, a high recurrence rate, concerns for skin flap necrosis, as well as inapplicability to non-midline defects [
1,
2]. For the management of large defects, we prefer posterior component separation with transversus abdominis release (PCS/TAR) due to a low recurrence rate, and applicability to hernias in every location in the abdominal wall [
2‐
4]. But, having said that, there is little doubt that the popularization of ACS has made it a heavily utilized technique for definitive abdominal wall reconstruction [
2]. …