P-138 PREDICTORS OF COMPLICATIONS IN COMPLEX VENTRAL HERNIA REPAIR USING POSTERIOR COMPONENT SEPARATION TECHNIQUE WITH RETRO RECTUS MESH PLACEMENT – AN OBSERVATIONAL STUDY

Abstract Introduction Incisional Hernia has an incidence ranging from 2–20%. Large and complex incisional hernias are difficult to treat with standard procedures. PCS-TAR is a relatively novel procedure. There persists gap in knowledge regarding its outcomes, especially the Indian population. Aims & Objective To identify pre-operative clinical radiological factors that predict risk of re-herniation wound mesh-related complications after CVH (Complex Ventral Hernia) Methodology In prospective observational study, patients undergoing open retro rectus mesh for Complex repair included study. The patient demographics, hernia characteristics, details, operative data, post- follow-up data were entered pre-designed proforma. Data analyzed SPSS softwere. Results 35 included, which 30 (85%) women 5 men. mean age was 51.8 years BMI 29.7 kg/m2. size defect 12 cm. 83% midline primary 255 recurrent hernias. We observed zero recurrences at six months follow-up, but high morbidity rate up 49%, most common seroma formation. 23% developed SSI. Conclusion conclusion, promising procedure ventral not amenable closure using traditional approach, excellent short term outcomes. Wound significant concern this procedure, can be prevented or reduced by thorough optimization on case-to-case basis.