Minimally-invasive components separation without the need for laparoscopy

this video describes the technique of minimally invasive separation of components without the need for laparoscopy separation of components aims to improve the outcomes of incisional hernia repair by allowing for complete mineralization of the rectus muscle andrey approximation of the Linea Alba in this technique the aponeurosis is divided just lateral to the rectus muscles the rectus muscles are then media lized this allows for placement of posterior mesh followed by sutured RIA proximation of the Linea Alba the traditional approach to separation of components involves starting at the hernia site and then working laterally the problem is that this approach interrupts all of the perforators to the medial aspect of the skin in some patients this results in skin flap necrosis which