Laparoscopic Component Separation in Open Incisional Hernia Repair: A Video presentation.

Pramod Shinde, Dr. Kaushalya Hospital & Research Centre, Nashik, India

Component Separation is required to close large defects and achieve midline closure in large or complex Ventral Hernias.This entails an Incision on External Oblique Aponeurosis and mobilisation of Abdominal wall component consisting of Rectus sheath, Rectus Muscle, Internal Oblique Transversus Abdominis Muscle and Fascia to cover defects of large size.

When done in open Surgery, this involves extensive mobilisation of Skin Flaps upto lateral Abdominal Wall putting them at risk of Necrosis and other complications.

The same Compartment Mobilisation can be done Laparoscopically, saving extensive skin flap dissection and achieves excellent results.This Laparoscopic technique can be used in Laparoscopic as well as Open Surgical Repairs.

This Video Presentation shows Laparoscopic Component Mobilisation technique of Anterior type, in an Open Incisional Hernia Repair, using routine Instruments, and simple technique without using any costly gadgets like Ballon dissector etc.

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