Naslov
Inferior lateral tunneling (ILT) composite separation technique

Autori
Vlajčić, Zlatko ; Martić, Krešimir ; Jeleč, Vjekoslav ; Dewing, Daemon ; Zupčić, Miroslav ; Budimir, Ivan ; Eljuga, Domagoj ; Žic, Rado

Izvornik
Journal of plastic, reconstructive & aesthetic surgery (1748-6815) 74 (2021), 12; 3460-3463

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, komentar, znanstveni

Ključne riječi
lateral tunneling ; composite separation ; periumbilical spearing ; subcostal spearing

Sažetak
Oscar Ramirez published his “Component separation” technique for closure of abdominal-wall defects in 1990 1 . Further refinements of the component separation technique are still in progress worldwide. According to the standard method of “anterior component separation” described by Ramirez, the external oblique aponeurosis should be divided 1–2 cm lateral to the linea semilunaris after skin flap elevation. It can be combined with the retromuscular (Rives-Stoppa-Wantz) repair which has been proclaimed to be the gold standard for open ventral hernia repair by the America Hernia Society. By this technique, dissection of the posterior rectus sheath is from 0.5 cm of the medial edge of rectus abdominis, laterally to the linea semilunaris - the place of the anterior- posterior rectus sheath junction. It provides an extra medial advancement of the rectus abdominis complex of 1–2 cm per side. This technique was described as an excellent adjunct to the anterior component separation. Combination of those techniques allows retro muscular mash placement sufficient to repair defects of 10–12 cm. The technique can be performed to repair even recurrent hernias after a prior anterior component separation when a mesh covers the prior external oblique releases 2 . On the other hand, posterior component separations (incision of the posterior leaflet of the internal oblique) and TAR procedures (transversus abdomens release) should not be combined simultaneously with any type of anterior release.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

POVEZANOST RADA