In order to facilitate a return to normalcy of the abdominal wall, we emphasize the benefits of reapproximation of the midline by mobilizing the rectus muscles back toward each other. The techniques that are utilized in this setting are called components separation. There are many aspects of component separation including but not limited to anterior division of external oblique, posterior transversus abdominis release (TAR), and posterior rectus release. These procedures can be performed with the DaVinci Robot
or with open techniques.
A mesh (significant variation in type) is used under the rectus muscles but inside the muscular sheath. This mesh may be permanent (usually a lightweight polypropylene ) and at times absorbable. Mesh used in these procedures is “hidden” from the abdominal contents and is the safest way to place mesh.
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