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后入路成分分离技术 - 原始腹横肌松解（TAR）技术。

Posterior Component Separation Technique-Original Transversus Abdominis Release (TAR) Technique.

作者信息

Gandhi Jignesh A, Gajjar Aarsh P, Shinde Pravin H, Chaudhari Sadashiv

机构信息

King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, India.

Jaslok Hospital, Mumbai, India.

出版信息

J Abdom Wall Surg. 2024 Aug 21;3:12542. doi: 10.3389/jaws.2024.12542. eCollection 2024.

DOI:10.3389/jaws.2024.12542
PMID:39234002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11371552/
Abstract

The history of ventral hernia repair techniques has seen substantial evolution, from primary suture repair to the introduction of mesh-based procedures, aiming to reduce recurrence rates. Notable advancements include the anterior and posterior component separation techniques. The Transversus Abdominis Release (TAR) technique, a refinement of the posterior approach, emerged to address challenges associated with complex ventral hernias. The TAR technique facilitates midline reconstruction, allowing large mesh placement while minimizing the need for subcutaneous dissection. Despite its benefits, TAR presents potential complications, emphasizing the necessity for meticulous preoperative assessment and training. The paper reviews the historical progression of hernia repairs, details the TAR technique, highlights indications, perioperative care strategies, surgical steps, postoperative management, technical challenges, and emphasizes the critical role of expertise in achieving successful outcomes in complex abdominal wall reconstruction.

摘要

腹疝修补技术的历史经历了重大演变，从最初的缝合修补到引入基于补片的手术方法，旨在降低复发率。显著的进展包括前入路和后入路的腹壁分层技术。腹横肌松解术（TAR）作为后入路的改良技术，应运而生以应对复杂腹疝相关的挑战。TAR技术有助于中线重建，允许放置大尺寸补片，同时尽量减少皮下分离的需求。尽管有诸多益处，但TAR技术仍存在潜在并发症，这凸显了术前细致评估和培训的必要性。本文回顾了疝修补术的历史进程，详述了TAR技术，强调了其适应证、围手术期护理策略、手术步骤、术后管理、技术挑战，并着重指出专业技能在复杂腹壁重建取得成功结果中所起的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/0699317a54fd/jaws-03-12542-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/b28f1071cdf2/jaws-03-12542-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/2938e002bc41/jaws-03-12542-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/23e9409d9c34/jaws-03-12542-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/18b22cac6b94/jaws-03-12542-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/5f8297a980a0/jaws-03-12542-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/0699317a54fd/jaws-03-12542-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/b28f1071cdf2/jaws-03-12542-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/2938e002bc41/jaws-03-12542-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/23e9409d9c34/jaws-03-12542-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/18b22cac6b94/jaws-03-12542-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/5f8297a980a0/jaws-03-12542-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b2/11371552/0699317a54fd/jaws-03-12542-g006.jpg

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Laparoscopic transversus abdominis release for complex ventral hernia repair: technique and initial findings.腹腔镜腹横肌松解术治疗复杂腹疝修补术：技术和初步发现。
Hernia. 2024 Jun;28(3):761-767. doi: 10.1007/s10029-023-02860-6. Epub 2023 Aug 28.
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The outcomes of open anterior component separation versus posterior component separation with transversus abdominis release for complex incisional hernias: a systematic review and meta-analysis.
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