Tag Archives: transversus abdominis release

General Surgery, Print Release

PUBLISHED: Robotic Transversus Abdominis Release (TAR)

Robotic Transversus Abdominis Release (TAR)
Katie A. Marrero, MD; Eric M. Pauli, MD, FACS, FASGE
Penn State Health Milton S. Hershey Medical Center

A 58-year-old patient underwent robotic bilateral transversus abdominis release (TAR) for repair of a recurrent incisional hernia following prior hernia repair complicated by mesh infection and subsequent explantation. This approach was selected based on the patient’s surgical history, the size of the hernia defect, and the extent of incarcerated small bowel. A double-docking technique was employed to facilitate bilateral TAR, and a large macroporous polypropylene mesh was placed. This case highlights the operative decision-making involved in complex hernia repair and demonstrates the technical considerations for performing a robotic bilateral TAR.

General Surgery, Print Release

PUBLISHED: Complex Abdominal Wall Reconstruction with Transversus Abdominis Release (TAR)

Complex Abdominal Wall Reconstruction with Transversus Abdominis Release (TAR)
Michael J. Rosen, MD, FACS
Cleveland Clinic

This video demonstrates a case involving an open complex abdominal wall reconstruction with transversus abdominis release. The case involves an obese patient with a multiply recurrent incarcerated incisional hernia. The CT scan shows a complex defect involving the midline, right linea semilunaris, and inter-rectus hernia. The use of a retromuscular procedure with a posterior component separation will be highlighted and its advantages of allowing wide mesh overlap without creation of subcutaneous tissue flaps to repair defects with these challenging characteristics.