الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Background: Ventral hernia complicates 11% to 23% of all open abdominal surgeries. Ventral wall hernia is considered complex when certain criteria prescribed by Slater and his colleagues are found. Many refinements, since the introduction of the mesh hernioplasty, have been developed aiming to decrease the recurrence rate and mesh-related complications. Posterior component separation with transversus muscle release (TAR) can be an alternative technique in managing complex ventral hernia. Methods: A prospective, randomized study was conducted to compare the outcome of hernia repair in 56 patients with complex ventral hernia divided into two equal groups. The first group underwent mesh-only repair, and the other group underwent posterior component separation with transversus abdominis muscle release. Results: After following-up all the patient for at least one year, the results obtained from both interventions were comparable except for blood loss, and postoperative seroma formation which were in favor of mesh only repair. Recurrence was found in four patients who underwent TAR technique versus only one patient who underwent mesh only repair. Conclusion: Although TAR may be associated with more blood loss, other outcomes were not found to be statistically significant. Postoperative complication, except for seroma, and recurrence rates were comparable in both groups.