Transversus Abdominis Release as an Effective Technique for Large Ventral Hernias: A Report of 13 Cases

Abstract

Chronic complex abdominal defects leading to large ventral abdominal hernias have exhibited an escalating trend in recent years. To date, an ideal surgical technique for repairing these types of hernias has not been delineated. At present, no surgical approach has been proven to be the optimal method for repairing these specific types of hernias. Mesh repair, which is a common procedure employed for most hernias, has proven ineffective in these instances due to substantial loss of domain associated with large hernia. In practical terms, component separation technique (CST) is now utilized as a potential technique for optimal repair. Transversus abdominis release (TAR) is a posterior approach within CST. Herein, we present a series of thirteen case reports involving large ventral hernias that were successfully treated with TAR, as there was a significant loss of domain in all cases, necessitating substantial reconstruction to compensate accordingly. Here, we report thirteen cases of patients with large ventral hernias who were effectively treated with TAR. Each case involved a significant loss of domain, necessitating extensive reconstruction.