OC-021 TRANSVERSUS ABDOMINIS MUSCLE RELEASE FOR THE TREATMENT OF COMPLEX BILATERAL SUBCOSTAL INCISIONAL HERNIAS

Abstract Aim To assess the outcomes of abdominal wall reconstruction for subcostal incisional hernias through a new approach. We present our results posterior component separation previous incision as safe and reproducible technique complex cases. Material & Methods A multicenter prospective cohort patients diagnosed with bilateral on either clinical examination or imaging based computed tomography from 2014 to 2020 was gathered. The reported were short long-term complications, including recurrence, pain, bulging. Quality life assessed European Registry Abdominal Wall Hernias Life score. Results total 46 identified. All underwent separation. Surgical site occurrences occurred in 10 (22%), only 7 (15%) requiring procedural intervention. During mean follow-up 18 months (range, 6–62 months), 1 (2%) case recurrence registered. Also, there 8 (17%) asymptomatic but visible score showed statistically significant decrease 3 variables (pain, restriction, cosmetic) postoperative scores compared preoperative Conclusion Posterior repair same is procedure that avoids injury linea alba. It associated acceptable morbidity, low rate, improvement patient's outcomes.