May 2025, Volume 3, Issue 5

Author

Pooja Jain, Sanjeev Agarwal, Mit Patel and Shailja Dadhich

Abstract

This study looks open anterior component separation (ACS) followed by placement of an onlay mesh for complicated incisional hernia surgery. Among surgical procedures incisional hernia surgery is most complex as it involves repairing of weakened abdominal muscle which can be due to preexisting conditions, sudden increase in intra abdominal pressure, straining during motion or while lifting heavy objects. In this case patient presented with an incisional hernia with a very bad scar after two major exploratory laparotomy. We have chosen anterior component separation over posterior component separation due to ease of operation, less surgical time and early recovery. Evidence from long-term studies suggest that the use of mesh helps to strengthen the muscular wall of the abdomen and organ deformation is prevented. In conclusion, anterior component separation with onlay mesh repair is established technique for hernia repair surgery.