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Abdominal Wall Reconstruction with Component Separation
Component Separation을 이용한 복벽의 재건
J Acute Care Surg 2018;8:43−50
Published online October 30, 2018;  https://doi.org/10.17479/jacs.2018.8.2.43
© 2018 Korean Society of Acute Care Surgery.

Eun Jeong Choi, M.D., Eun Key Kim, M.D.
최은정, 김은기

Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
울산대학교 의과대학 서울아산병원 성형외과학교실
Eun Key Kim, M.D.
Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea
Tel: +82-2-3010-3600
Fax: +82-2-476-7471
E-mail: nicekek@korea.com
ORCID: http://orcid.org/0000-0002-3986-6886
Received June 7, 2018; Revised September 22, 2018; Accepted September 22, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The principal goal of an abdominal wall reconstruction is to repair abdominal defects by restoring the continuity of the myofascial layer, providing functional structural support, and minimizing the risk of recurrence. Ramirez and colleagues originally described the components separation technique in 1990. This technique accomplishes primary fascial closure over the midline through bilateral the external oblique aponeurotomis lateral to the linea semilunaris. Several techniques including the perforator-sparing technique, minimally invasive laparoscopic approaches, and posterior component separation have been developed to improve the outcomes. Managements, such as the use of synthetic and bioloprosthetic mesh, for reinforcement adjunctively have further decreased the rate of complications. Further refinements and prospective studies will be needed to achieve more durable repairs.
Keywords : Ventral hernia, Abdominal muscles, Reconstructive surgical procedures


October 2018, 8 (2)
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