Complex Abdominal Wall Reconstruction with Transversus Abdominis Release (TAR)

1. Introduction

2. Incision and Entry into the Abdomen Along the Midline

3. Dissection Laterally to Remove Bowel from Defects from Known to Unknown

4. Running the Bowel

5. Measuring the Defect and Protecting the Bowel

6. Right Posterior Rectus Sheath Incision and Development of Posterior Rectus Space

7. Transversus Abdominis Release (TAR) on the Right

8. Closure of Lateral Defects on the Right

9. Left Posterior Rectus Sheath Incision and Development of Posterior Rectus Space

10. TAR on the Left

11. Further Cephalad Dissection Around Diaphragm

12. Closure of any Remaining Defects

13. Posterior Rectus Sheath Closure

14. Mesh Placement

15. Drain Placement

16. Skin Excision

17. Anterior Rectus Sheath Closure

18. Closure

1. Placement of Additional Drain