Open transversus abdominis release

IF 0.5 Q4 SURGERY
K. Tunder, Y. Novitsky
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引用次数: 1

Abstract

The management of most complex abdominal wall hernias remains a significant challenge and the approaches to repair them have evolved. To address these challenges, the posterior component separation using the transversus abdominis muscle release (TAR) was developed. Through cadaveric research and better understanding of the anatomy of the transversus abdominis muscle, the first TAR transversus abdominis release was performed in 2006. In the numerous studies performed since, TAR continues to show low recurrence rates, limited significant wound morbidity, rare mesh complications, and low incidence of mesh explantation. The TAR approach has now been definitively proven to be a valuable technique for abdominal wall reconstruction and can address a wide variety of defects. Moreover, a proper performed TAR has been shown to have no deleterious effects on the abdominal trunk musculature and trunk/core function. A deep understanding of the anatomy, preoperative optimization and precise surgical technique is imperative to performing a TAR and ensuring the best outcome for the patient.
大多数复杂腹壁疝的治疗仍然是一个重大挑战,修复方法也在不断发展。为了解决这些挑战,使用腹横肌释放(TAR)的后构件分离被开发出来。通过尸体研究和更好地了解腹横肌解剖结构,2006年进行了第一次TAR腹横肌松解术。在此后进行的大量研究中,TAR仍然显示出低复发率、有限的重大伤口发病率、罕见的补片并发症和低补片外植的发生率。TAR入路目前已被明确证明是一种有价值的腹壁重建技术,可以解决各种缺陷。此外,适当进行的TAR已被证明对腹部躯干肌肉组织和躯干/核心功能没有有害影响。深入了解解剖结构、术前优化和精确的手术技术是进行TAR和确保患者获得最佳结果的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.90
自引率
0.00%
发文量
0
审稿时长
13 weeks
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