Application of botulinum toxin as a method to reduce the scope of component separation hernioplasty in postoperative ventral hernia repair
https://doi.org/10.17238/2072-3180-2025-3-165-171
Abstract
Introduction. TAR hernioplasty (TAR – Transversus Abdominis Muscle Release), as a type of component separation technique, is a standard method for reconstructing the anterior abdominal wall in the treatment of large ventral hernias. However, this method is associated with significant tissue trauma, risk of complications, and a prolonged recovery period. In recent years, the possibility of preoperative botulinum toxin type A (BTA) administration has been explored to reduce the extent of component separation due to BTA's muscle-relaxing effect.
The purpose of the study. Demonstration of the potential use of botulinum toxin type A (BTA) to reduce the extent of TAR hernioplasty in patients with large postoperative ventral hernias (PVH) who were initially scheduled for standard bilateral TAR hernioplasty.
Materials and methods. The article describes a clinical case of treating a patient diagnosed with a postoperative ventral hernia (PVH) classified as M1-4W3R1. The preoperative preparation included the administration of botulinum toxin type A (BTA).
Results. The results showed that preoperative use of BTA allowed reduction of the surgical procedure to unilateral TAR hernioplasty in a patient who was initially scheduled for bilateral TAR hernioplasty.
Conclusion. Preoperative use of botulinum toxin type A (BTA) in patients with large and giant ventral hernias reduces the extent of TAR hernioplasty required.
About the Authors
H. Othman
Department of hospital surgery with a course of pediatric surgery of the RUDN University named after Patrice Lumumba
Russian Federation
Russian Federation
Othman Hassan – Postgraduate student
117198, Miklukho-Maklaj str., 6, Moscow
M. A. Chinikov
Department of hospital surgery with a course of pediatric surgery of the RUDN University named after Patrice Lumumba
Russian Federation
Russian Federation
Chinikov Maxim Alekseevich – Doctor of Medical Sciences, professor
117198, Miklukho-Maklaj str., 6, Moscow
A. G. Faibushevich
Department of hospital surgery with a course of pediatric surgery of the RUDN University named after Patrice Lumumba
Russian Federation
Russian Federation
Faibushevich Aleksandr Georgievich – Candidate of Medical Sciences, Head of the Department
117198, Miklukho-Maklaj str., 6, Moscow
M.K.M. Al-Ariki
Department of hospital surgery with a course of pediatric surgery of the RUDN University named after Patrice Lumumba
Russian Federation
Russian Federation
Al-Ariki Malik Kiaed Mohammed – Candidate of Medical Sciences, assistant professor
117198, Miklukho-Maklaj str., 6, Moscow
A. V. Yuri
Hospital of S.S. Yudina
Russian Federation
Russian Federation
Yuri Alexey Viktorovich – Candidate of Medical Sciences, Head of the 2nd surgical department
115446, Kolomensky Proezd, 4, Moscow
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Review
For citations:
Othman H., Chinikov M.A., Faibushevich A.G., Al-Ariki M., Yuri A.V. Application of botulinum toxin as a method to reduce the scope of component separation hernioplasty in postoperative ventral hernia repair. Moscow Surgical Journal. 2025;(3):165-171. (In Russ.) https://doi.org/10.17238/2072-3180-2025-3-165-171
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