Background: Ventral abdominal wall hernias of the complicate between 11% and 23% of all abdominal laparotomies, constituting a growing problem. Contemporary general surgeons are confronted with the significant challenge of performing dependable, long-lasting ventral hernia repairs with minimal morbidity and recurrence. We aimed to compare between anterior components separation and posterior components separation technique in repair huge ventral hernia as regard degree of medialization myofascial flap, wound morbidity and recurrence rate.
Methods: This prospective randomized controlled study was conducted on 62 huge incisional hernia patients aged more than 18 years old, both sexes. Group A: n= 31, underwent anterior component separation (CS). Group B: n= 31, underwent posterior CS. All patients underwent to detailed history full clinical examination and investigation. physical examination, laboratory examination [complete blood count, bleeding profile, renal and liver function tests, and fasting blood sugar], and radiological examination
Results: A statistically significant distinction observed among the studied groups as regard seroma and wound infection which occurred more in anterior separation technique repair of huge incisional hernia.
Conclusions: Anterior separation technique repair of huge incisional hernia is more liable to complications as seroma and wound infection than posterior separation technique repair of huge incisional hernia.