Posterior Component Separation for Repair of Incisional Hernia with Mercedes-type Incision—A Case Report—

Abstract

A 55-year-old woman, who had undergone distal pancreatectomy and splenectomy through a Mercedes-type incision, presented to our department complaining of abdominal bulging 6 months after the operation. Computed tomography revealed an incisional hernia with a 5-cm fascial defect. Because the incisional hernia had grown 7 cm 1 year after surgery, the patient underwent posterior component separation with transversus abdominis muscle release and sublay synthetic mesh reinforcement. The patient had an uneventful postoperative course and was discharged on postoperative day 5. Posterior component separation seems safe and effective for repairing a complicative incisional hernia from a Mercedes-type incision.