Is Component Separation a Safe Method in Incisional Hernias?/Insizyonel Hernilerde Komponent Seperasyon Teknigi Guvenli Bir Yontem midir?

Introduction: Incisional hernias after abdominal surgical procedures cause morbidity, significant loss of labor and affect quality of life. In this study, we investigated whether component separation (CS) technique is a safe method in patients with incisional hernia. We evaluated the results of this technique in terms of wound infection and recurrence. Methods: Thirty incisional hernia cases operated with CS technique between February 2012 and February 2014 were included in the study. Demographic data, body mass index (BMI), American Society of Anesthesiologists (ASA) score, defect size, wound complications and recurrences after one-year follow-up were evaluated. Results: Seventeen patients were female and 13 were male. The mean age of the patients was 54.8 years (range: 29-76). The mean BMI of the patients was 26.8 kg/[m.sup.2] (range: 20.5-32.9). The mean hernia transverse diameter was 9.6 cm (range: 6.523). Mortality was not observed in any of the patients. Wound problems were observed in six of 30 patients in CS repair, and recurrence was observed in three of these patients. Recurrence was observed in only one of the remaining 24 patients without a wound problem. Recurrence was found to be statistically related to wound problem. There was also a significant relationship between BMI, hernia transverse diameter, ASA score and recurrence. Conclusion: In selected cases, CS technique is a safe technique for incisional hernia repair. It can be performed by paying attention to wound problems. Keywords: Component separation, wound infection, Amac: Abdominal cerrahi girisimler sonrasinda ortaya cikan insizyonel herniler onemli oranda isgucu kaybina, morbiditeye neden olur, yasam kalitesini etkiler. Bu calismada insizyonel hernili hastalarda Komponent Seperasyon (KS) tekniginin guvenli bir yontem olup olmadigini arastirdik. Bu teknigin; yara yeri enfeksiyonu ve nuks acisindan sonuclarini degerlendirdik. Yontemler: Subat 2012- Subat 2014 tarihleri arasinda hastanemizde KS teknigi ile ameliyat edilen 30 insizyonel herni olgusu calismaya dahil edildi. Hastalarin demografik bilgileri, vucut kitle indeksi (VKI), Amerikan Anesteziyoloji Dernegi (ASA) skoru, defektin boyu, yara komplikasyonlari ve bir yillik takip sonrasi nuksler degerlendirildi. Bulgular: Hastalarin 17'si kadin, 13'u erkekti. Hastalarin yas ortalamasi 54,8 (29-76) idi. Hastalarin VKI ortalamasi 26,8 kg/ [m.sup.2] (20,5-32,9) idi. Bu hastalarin ortalama fitik transvers capi 9,6 cm (6,5-23) idi. Hastala