Components separation technique: Pros and cons

Abstract

Prosthetic repair is still the most frequently applied method to repair ventral hernias. However, prosthetic materials have several drawbacks. First, the mechanical properties of the abdominal wall may be altered, providing less dynamic support and a less favorable cosmetic result owing to bulging of the prosthesis. Second, the prosthetic material may cause damage to the intraabdominal viscera if the peritoneum or greater omentum cannot be interposed between the prosthesis and the organs [1]. Third, biomaterials increase the risk of infection, particularly when they are used for reconstruction in a contaminated environment, such as the abdominal wall in the presence of an enterocutaneous fistula [2, 3]. © 2010 Springer-Verlag Berlin Heidelberg.