{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T15:55:34Z","timestamp":1780329334466,"version":"3.54.1"},"reference-count":22,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Trauma Surg Acute Care Open"],"accepted":{"date-parts":[[2018,12,26]]},"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>Posterior component separation with transversus abdominis release and implantation of synthetic mesh in the retromuscular space is a durable type of repair for many large incisional hernias with recurrence rates consistently less than 10%. The purported advantage of biologic prostheses in contaminated fields has recently been challenged, and the concern for placing synthetic mesh in contaminated fields may be overstated. There are almost no data specifically addressing the use of this type of repair for chronic incisional hernias in trauma and emergency general surgery patients, so research is needed on this patient population. In this review, a case of a trauma patient receiving posterior component separation with transversus abdominis release and implantation of synthetic mesh for a chronic incisional hernia resulting from a gunshot wound to the abdomen is presented, the technique is explained, and relevant literature is reviewed.<\/jats:p>","DOI":"10.1136\/tsaco-2018-000268","type":"journal-article","created":{"date-parts":[[2019,1,25]],"date-time":"2019-01-25T06:29:34Z","timestamp":1548397774000},"page":"e000268","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Use of posterior component separation and transversus abdominis release in trauma and emergency general surgery patients: a case report and review of the literature"],"prefix":"10.1136","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1116-8357","authenticated-orcid":false,"given":"John J","family":"Como","sequence":"first","affiliation":[{"name":"Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver L","family":"Gunter","sequence":"additional","affiliation":[{"name":"Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose J","family":"Diaz","sequence":"additional","affiliation":[{"name":"Acute Care Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA"},{"name":"Program in Trauma, University of Maryland Medical System, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa P","family":"Ho","sequence":"additional","affiliation":[{"name":"Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preston R","family":"Miller","sequence":"additional","affiliation":[{"name":"Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,1,24]]},"reference":[{"key":"2025081710591629000_4.1.e000268.1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199009000-00023"},{"key":"2025081710591629000_4.1.e000268.2","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.amjsurg.2011.10.009","article-title":"Posterior and open anterior components separations: a comparative analysis","volume":"203","author":"Krpata","year":"2012","journal-title":"Am J Surg"},{"key":"2025081710591629000_4.1.e000268.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2012.02.008"},{"key":"2025081710591629000_4.1.e000268.4","doi-asserted-by":"publisher","DOI":"10.1007\/BF01658869"},{"key":"2025081710591629000_4.1.e000268.5","first-page":"749","article-title":"[Treatment of large eventrations (apropos of 133 cases)]","volume":"32","author":"Rives","year":"1977","journal-title":"Minerva Chir"},{"key":"2025081710591629000_4.1.e000268.6","first-page":"119","article-title":"[Original procedure of groin hernia repair: interposition without fixation of Dacron tulle prosthesis by subperitoneal median approach]","volume":"99","author":"Stoppa","year":"1973","journal-title":"Chirurgie"},{"key":"2025081710591629000_4.1.e000268.7","first-page":"408","article-title":"Giant prosthetic reinforcement of the visceral sac","volume":"169","author":"Wantz","year":"1989","journal-title":"Surg Gynecol Obstet"},{"key":"2025081710591629000_4.1.e000268.8","unstructured":"Novitsky YW . 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