European Journal of Cardiovascular Medicine

Background: Component separation technique typically involves one or more fascial planes incision to form myofascial advancement flaps to assist fascial closure in large ventral hernia repair. Aim of the study was to compare the outcomes and quality of life post operatively with traditional preperitoneal mesh repair. Methods: A prospective study was done on 40 patients in MKCG Medical College with ethical clearance. IEC no1087.It was a comparative study between component separation technique and traditional preperitoneal repair for large midline ventral hernia. Observations: Mean age of patients operated for CS were 49.5+SD10.15 and for Preperitoneal repair mean age was 48.95+SD9.87. Wound complications were 16% with mean follow up12 months and recurrence rate was 5% with odds ratio 0.21(0.021-2.079) p=0.91 when compared to preperitoneal mesh repair. Conclusion: The component separation technique was better regarding the shape of abdominal contour than pre peritoneal mesh repair. The use of component separation technique results in an increased risk of wound complications but does not increase the hernia recurrence rate CS with myofascial advancement flaps reduces chance of recurrence but does not impact on quality of life.