Transversus Abdominis Muscle Release Versus Mesh Only Repair in the Treatment of Complex Ventral Wall Hernia

Posterior Component Separation With Transversus Abdominis Muscle Release Versus Mesh Only Repair in the Treatment of Complex Ventral Wall Hernia: A Randomized Controlled Trial

This trial was designed as a prospective randomized, controlled, intervention, with two parallel groups, and a primary endpoint of recurrence during 12 months' follow-up after initial treatment, with the randomization, was performed by an online software a 1:1 allocation.

Eligibility Criteria

• both sexes
• aged between 18 and 65 years old
• presented complex ventral wall hernia or incisional hernia

Exclusion

• pregnant
• patients on steroid therapy
• underwent their hernia repair on an emergency basis

Interventions

• Eligible patients were randomized in equal proportions between "Mesh Only Repair" and "Posterior Component Separation with Transversus Abdominis Muscle Release"

Inclusion Criteria:

• patients with complex ventral-wall and incisional hernia

Exclusion Criteria:

• pregnant female
• steroid therapy
• emergency basis