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Textbook of Hernia pp 243–248Cite as

Endoscopic Component Separation Techniques

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Abstract

The unique presentation of complex hernias requires a wide range of repair options. Posterior component separation via a transversus abdominis muscle release has increased in popularity owing to the natural anatomic extension from a retromuscular approach. However, endoscopic anterior component separation remains an important and effective technique in selected patients as an adjunct to both open and laparoscopic AWR. Advantages of ECS include the ease of operation with recognizable anatomy, minimal risk of dividing the incorrect layer and destabilizing the lateral abdominal wall, and finally, its effectiveness and low morbidity. Additionally, when paired with minimally invasive AWR techniques (intraperitoneal onlay mesh [IPOM], transabdominal preperitoneal [TAPP], extended-view totally extraperitoneal [eTEP]), endoscopic anterior component separation allows for a fast, efficient, and safe complementary technique to facilitate midline advancement.

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Author information

Authors and Affiliations

  1. Minimally Invasive Surgery Department, Clínicas Bautista and Porto Azul, Carrera 58, Número 79-223 PH B, Barranquilla, Colombia

    Jorge Daes M.D., F.A.C.S.

  2. Department of Surgery, Lichtenstein Amid Hernia Center, David Geffen School of Medicine at University of California, Los Angeles, 1304 15th Street, Suite 102, Santa Monica, CA, 90404, USA

    David C. Chen M.D., F.A.C.S.

Authors
  1. Jorge Daes M.D., F.A.C.S.
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  2. David C. Chen M.D., F.A.C.S.
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Corresponding author

Correspondence to Jorge Daes M.D., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Department of Surgery, New Hanover Regional Medical Center, Wilmington, North Carolina, USA

    William W. Hope

  2. USC School of Medicine-Greenville, Greenville Health System, Greenville, North Carolina, USA

    William S. Cobb

  3. Johns Hopkins Hospital, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

    Gina L. Adrales

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© 2017 Springer International Publishing Switzerland

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Daes, J., Chen, D.C. (2017). Endoscopic Component Separation Techniques. In: Hope, W., Cobb, W., Adrales, G. (eds) Textbook of Hernia. Springer, Cham. https://doi.org/10.1007/978-3-319-43045-4_32

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  • DOI: https://doi.org/10.1007/978-3-319-43045-4_32

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43043-0

  • Online ISBN: 978-3-319-43045-4

  • eBook Packages: MedicineMedicine (R0)

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