Laparoscopic Versus Open-Component Separation Technique with Mesh Reinforcement for Closure of Large Anterior Abdominal Wall Defect

Background: A growing number of cases have a huge or complicated abdominal wall defect. Such defects might be a consequence of incisional hernia associated with several abdominal surgeries, surgical operations resection of the abdomen wall, necrotizing abdomen wall infections, or open abdominal therapy. Aim and objectives: The goal of the current work is the comparison among the laparoscopic and open anterior component separation with mesh reinforcement for the closure of large anterior abdominal wall defect with study further improvement in the surgical outcome of these complex cases using laparoscopy to decrease the morbidity associated with the open procedures. Patients and methods: A prospective study had been conducted from Jan.2016 to Jan.2020 at Al -Azhar University Hospital, New Damietta. Thirty hemodynamically stable cases with large ventral abdominal wall defects were fully assessed clinically with complete previous medical and surgical history and requesting the related investigations, underwent an anterior component separation technique with a record of the surgery, intra-operative, 30 days postoperative complications rates and 1 year follow up for recurrence. Results: Operational Period for group-I was (mean ±S. D. ) 202.93±39.978 minute and in group-II was 217.4±44.368 min, with no remarkable difference statistically among the studied groups was detected. The hospitalization time in group-I ranging from 4 to 7 days and in group-II ranging from 7 to 10 days, with remarkable difference statistically was existing among the studied groups. Conclusion: The CST is a very useful technique, safe and successful for the treatment of huge and complex ventral hernias as it can cause the closure of the defect without tension.