Truncal function after abdominal wall reconstruction via transversus abdominis muscle release (TAR) for large incisional hernias: a prospective case–control study

Background Data about abdominal wall function in patients with incisional hernias (IH) are limited. Abdominal Wall Reconstruction (AWR) could be beneficial for the improvement of this function. The goal of the study was to evaluate if the abdominal wall function was restored after transversus abdomi...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2022-10, Vol.26 (5), p.1285-1292
Main Authors: Oprea, V., Toma, M., Grad, O., Pavel, A., Molnar, C.
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Surgery
Abdominal wall
Hernias
Medicine
Medicine & Public Health
Original Article
Patients
Surgery
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Summary:Background Data about abdominal wall function in patients with incisional hernias (IH) are limited. Abdominal Wall Reconstruction (AWR) could be beneficial for the improvement of this function. The goal of the study was to evaluate if the abdominal wall function was restored after transversus abdominis muscle release (TAR). Methods We performed a prospective case–control study of 59 patients with IH equal or larger than 10 cm in their width undergoing AWR via TAR with mesh reinforcement and complete linea alba restoration. With two simple physical tests—Trunk Raising (TR) and Double Leg Lowering (DLL), we clinically assessed, preoperatively, 1 month and 1 year postoperatively the functionality of the abdominal wall (flexion). Patients were compared with a control group ( n  = 57) with an intact abdominal wall undergoing visceral surgery through a midline laparotomy. Results There were no differences between the groups in terms of sex and mean age. In the study group, TR demonstrated an increase from 1.93 preoperatively to 2.44 at 1 month and 4.27, respectively, at 1 year postoperatively ( p  
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-022-02563-4