Midline abdominal Incisional hernia repair by component separation technique augmented with prosthetic mesh- Prospective study

Background: Raised intra-abdominal pressure (IAP) makes laparostomy mandatory initially and abdominal wall approximation cannot be completed due to compromised state in most cases. Objectives: To determine the feasibility of component separation technique (CST) with mesh augmentation. Methods: 50 patients were subjected to CST with mesh augmentation. Preoperative defect size mapping, Pre- and post-operative monitoring of IAP were done. Pain scoring by visual analogue scale (VAS), early and late complications was noted. Patients were followed up for 60 months. Results: Out of 50 patients, 17 patients had seroma formation, 2 patients developed skin necrosis, 1 patient had wound dehiscence and none had Hematoma formation. There were 33 females and 17 males and accounts to 66% of female patients. Out of 50 patients 36 patients were operated under General anaesthesia accounting to 73% of patients whereas rest of the 14 patients got operated under Combined Spinal Epidural anaesthesia. 36 out of 50 patients had split thickness skin cover, accounting for 72% of the patients whereas rest of the 14 patients had intact skin cover. 