Transversus Abdominis Muscle Release in Giant Incisional Hernia

Giant incisional hernias and complex abdominal wall reconstructions are challenging in terms of primary closure with typical operating techniques. Transversus abdominis muscle release (TAR) is a new myofascial release technique that involves the creation of a retro rectal place and mesh placement. It is a modification of the posterior component separation technique (CST) and enables the primary closure of the most challenging abdominal wall reconstructions. We present a case where a favorable outcome was achieved in a contaminated environment with almost no perioperative complications and no recurrence after 17 months, with the placement of inexpensive non-absorbable ‘Paha’ mesh.