A Variation of the Components' Separation Technique that Preserves the Semilunaris for Treatment of Abdominal Wall Deformities

Marcus Vinícius Jardini Barbosa; Fábio Xerfan Nahas; Lydia Masako Ferreira

doi:10.1055/s-0041-1735419

A Variation of the Components' Separation Technique that Preserves the Semilunaris for Treatment of Abdominal Wall Deformities

Indian J Plast Surg. 2021 Oct 1;55(1):92-96. doi: 10.1055/s-0041-1735419. eCollection 2022 Feb.

Authors

Marcus Vinícius Jardini Barbosa¹, Fábio Xerfan Nahas², Lydia Masako Ferreira²

Affiliations

¹ Morphofunctional Laboratory of the Scholl of Medicine of the University of Franca, Franca, São Paulo, Brazil.
² Department of Surgery, Division of Plastic Surgery of the Federal University of São Paulo, São Paulo, Brazil.

Abstract

The variation of the components' separation technique, which uses the anterior rectus sheath and the release of the oblique muscles, proved to be effective in tension reduction. This paper aimed to present the initial experience using a variation that preserves semilunaris through the incision of the lateral aspect of the rectus sheath. All of the 12 patients presented an abdominal wall defect that included incisional hernia, peritoneostomy, lateral implantation of the rectus muscle, and defect secondary to TRAM flap. The separation was done in the following stages: stage 1-anterior rectus sheath and stage 2-external oblique muscles. From the 12 patients, three presented early complications: seroma ( n = 2) and epitheliolysis ( n = 1). There were no recurrences or other late complications (48 months follow-up period). The separation of the anterior rectus sheath, and incision in the lateral recess to undermine the oblique muscles, allowed the treatment of abdominal wall defects, without late complications.

Keywords: abdominal wall; hernia; plastic surgery.

Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).

Grants and funding

Funding The authors declare that they do not have any commercial interest in the subject of study or in the source of any financial or material support.