Anterior Component Separation for Multiple Incisional Hernias Along an Upper Midline Incision

1. Introduction

2. Incision

3. Hernia Sac Dissection and Excision

1. Repair of a Colotomy
2. Adhesiolysis
3. Incision Extension
4. Hemostasis

4. Raise Flaps Bilaterally Between the Subcutaneous Tissue and the Anterior Fascia

5. Fasciotomy of the External Oblique Fascia at the Anterior Axillary Line to Release the Fascia to Slide to the Midline

6. Closure

1. Hemostasis
2. Placement of Drains
3. Inject Local Anesthetic

7. Post-op Remarks