Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Apr;24(2):333-340.
doi: 10.1007/s10029-020-02150-5. Epub 2020 Mar 9.

Transversus abdominis release (TAR): what are the real indications and where is the limit?

Affiliations
Review

Transversus abdominis release (TAR): what are the real indications and where is the limit?

S J Zolin et al. Hernia. 2020 Apr.

Abstract

Purpose: To review literature surrounding transversus abdominis release (TAR) for incisional hernia repair, with the aim of describing key preoperative and technical considerations for this procedure.

Methods: Existing literature on TAR was reviewed and synthesized with the clinical experience and approach to TAR from a high-volume hernia center.

Results: Recommendations regarding patient selection, optimization and technique for TAR are presented.

Conclusions: While published outcomes of TAR from expert centers are favorable, potentially devastating complications may result when TAR is performed incorrectly or in suboptimal clinical situations. Appropriate patient selection, optimization, and surgeon expertise are necessary if TAR is to be performed.

Keywords: Abdominal wall reconstruction; Incisional hernia repair; Retromuscular hernia repair; Robotic hernia repair; Transversus abdominis release; Ventral hernia repair.

PubMed Disclaimer

References

    1. Krpata DM, Blatnik JA, Novitsky YW, Rosen MJ (2012) Posterior and open anterior components separations: a comparative analysis. Am J Surg 203:318–322. https://doi.org/10.1016/j.amjsurg.2011.10.009 - DOI - PubMed
    1. Novitsky YW, Elliott HL, Orenstein SB, Rosen MJ (2012) Transversus abdominis muscle release: a novel approach to posterior component separation during complex abdominal wall reconstruction. Am J Surg 204:709–716. https://doi.org/10.1016/j.amjsurg.2012.02.008 - DOI - PubMed
    1. Wegdam JA, Thoolen JMM, Nienhuijs SW, De Bouvy N, de Vries Reilingh TS (2019) Systematic review of transversus abdominis release in complex abdominal wall reconstruction. Hernia 23:5–15. https://doi.org/10.1007/s10029-018-1870-5 - DOI - PubMed
    1. Haskins IN, Prabhu AS, Jensen KK et al (2019) Effect of transversus abdominis release on core stability: short-term results from a single institution. Surg (US) 165:412–416. https://doi.org/10.1016/j.surg.2018.08.005 - DOI
    1. Criss CN, Petro CC, Krpata DM et al (2014) Functional abdominal wall reconstruction improves core physiology and quality-of-life. Surg (US) 156:176–182. https://doi.org/10.1016/j.surg.2014.04.010 - DOI

LinkOut - more resources