Complex Abdominal Wall Reconstruction (AWR)
For massive hernias that cannot be closed by standard means, surgeons perform Abdominal Wall Reconstruction. This often involves a technique called Component Separation.
The Technique
The surgeon makes strategic cuts in the lateral abdominal muscles (the obliques). This "releases" the tension, allowing the large rectus abdominis muscles (the "six-pack" muscles) to be pulled back to the midline to close the gap. This restores the functional strength of the abdominal core.
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