BACKGROUND Several modifications of the classic retromuscular Stoppa technique to facilitate dissection beyond the lateral border of the rectus sheath recently were reported. We describe a novel technique of transversus abdominis muscle release (TAR) for posterior component separation during major abdominal wall reconstructions. METHODS Retrospective review of consecutive patients undergoing ...

The transversus abdominis plane (TAP) block is a novel approach for blocking the abdominal wall neural afferents via the bilateral lumbar triangles of Petit. It was described for the first time in 2007 by McDonnell et al. We applied the technique after the original methodology of the authors. We evaluated its analgesic efficacy first 24 postoperative hours of patients, undergoing to surgical an...

Abstract Aim Our principal aim is to determine the retraction distance (RD) of transverse abdominis muscle after unilateral endoscopic transversus release (eTAR) for treatment midline and lateral hernias, compare it with same patient contralateral unreleased side. Material Methods We performed a retrospective analysis prospective database collection. defined RD as measure between edge rectus me...

Breast reconstruction with a pedicled transverse rectus abdominis muscle (TRAM) flap can result in significant abdominal wall donor-site morbidity. Although the pedicled TRAM flap donor area reinforced with mesh results in decreased rates of postoperative abdominal bulging and hernias, the best technique to accomplish that is yet to be elucidated. We present our novel technique of posterior com...

Femoral nerve palsy has been reported after percutaneous ilioinguinal field infiltration with general anaesthesia for inguinal herniorrhaphy. The mechanism whereby this could occur was studied in cadaver dissections. It was found that the plane between the transversus abdominis muscle and the transversalis fascia was continuous laterally with the tissue plane deep to the iliacus fascia, which i...

Editor’s key points † This randomized, singleblinded study compared two differents local anaesthetic blocks for hernia repair. † Patients received either USguided transversus abdominis plane (TAP) block or blinded ilioinguinal/ iliohypogastric nerve (IHN) blocks. † Ultrasound-guided TAP block produces less pain until 24 h with an opioidsparing effect without differences at 3 and 6 months after ...