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This study compares outcomes between use of open posterior component separation with transversus abdominis release (PCS-TAR) versus other hernia repair techniques (OHR) in patients with prior OLT from a single center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients with a prior OLT who underwent VIH repair along their trifurcation \u201cMercedes Benz\u201d incision were identified at a single center between 2007 and 2022. The primary outcome of interest was incidence of hernia recurrence between patients who were treated with PCS-TAR versus OHR. Secondary outcomes included length of hospital stay (LOHS), surgical site complications (SSC), readmissions and reoperations.\n                      <jats:italic>P<\/jats:italic>\n                      values\u2009&lt;\u20090.05 were considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 1,083 OLTs, there were 53 VIHs (4.9%) repaired, of which 23 (43%) underwent PCS-TAR and 30 (56%) underwent OHR. There were no statistical differences in the demographics between the groups including mean age (62.7 vs. 58.6 years,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.08), male sex (69.6% vs. 73.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.52), and BMI\u2009&gt;\u200930\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (21.7% vs. 30%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.5). The median time from OLT to VIH repair was 96 weeks vs. 99.3 weeks (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.35). Median follow-up was shorter in the PCS-TAR group (53 vs. 88.5 months,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). The mean hernia width was similar in the two groups (10.98 vs. 11.88\u00a0cm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.71). VIH recurrence was 0% in PCS-TAR compared to 36.7% in OHR group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). The two groups had similar incidence of SSC and LOHS. Unplanned reoperations were seen only in the OHR group (0% vs. 13.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PCS-TAR repair with mesh is a superior technique for VIH repair following OLT, offering a safe and effective approach with reduced hernia recurrence compared to other repair techniques in post-OLT patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10029-026-03731-6","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T08:33:26Z","timestamp":1779784406000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ventral incisional hernia repair after liver transplant using posterior component separation with transversus abdominis release"],"prefix":"10.1007","volume":"30","author":[{"given":"Georgios","family":"Voidonikolas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4440-7943","authenticated-orcid":false,"given":"Harriet G.","family":"Leibowitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin A.","family":"Steggerda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Frese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd","family":"Brennan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven A.","family":"Wisel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuyoshi","family":"Todo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Nissen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ju Dong","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip S.","family":"Brazio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kambiz","family":"Kosari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"3731_CR1","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/j.ijsu.2020.04.048","volume":"78","author":"H Cos","year":"2020","unstructured":"Cos H, Ahmed O, Garcia-Aroz S, Vachharajani N, Shenoy S, Wellen JR, Doyle MBM, Chapman WC, Khan AS (2020) Incisional hernia after liver transplantation: risk factors, management strategies, and long-term outcomes of a cohort study. 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