Comparative Study between Anterior Components Separation Versus Posterior Components Separation Technique in Repairing of Huge Ventral Hernia

Abstract

Background: Ventral abdominal wall hernias of the complicate between 11% and 23% of all abdominal laparotomies, constituting a growing problem. Contemporary general surgeons are confronted with the significant challenge of performing dependable, long-lasting ventral hernia repairs with minimal morbidity and recurrence. We aimed to compare between anterior components separation and posterior components separation technique in repair huge ventral hernia as regard degree of medialization myofascial flap, wound morbidity and recurrence rate.Methods: This prospective randomized controlled study was conducted on 62 huge ventral hernia patients aged more than 18 years old, both sexes. Group A: n= 31, underwent anterior component separation (CS). Group B: n= 31, underwent posterior CS. All patients were underwent to detailed history full clinical examination and investigation. physical examination, laboratory examination [complete blood count, bleeding profile, renal and liver function tests, and fasting blood sugar], and radiological examination Results: A statistically significant distinction observed among the studied groups as regard intra hernia recurrence, 30-day readmission, seroma and wound infection which occurred more in Anterior separation technique repair of huge ventral hernia.Conclusions: Anterior separation technique repair of huge ventral hernia had more recurrence rate and more liable to complications than posterior separation technique repair of huge ventral hernia.