Component Separation Hernia Repair

In a component separation, Dr. Harding carefully releases specific layers of the abdominal wall muscles to allow them to stretch and move toward the midline. This enables the surgeon to close the hernia defect without excessive tension, which is critical for long-term success and reduced recurrence.

There are several types of component separation techniques:
- Anterior Component Separation: Involves releasing the external oblique muscle to allow the rectus muscles to move medially.
- Posterior Component Separation (including Transversus Abdominis Release, or TAR):
Involves deeper muscle layers and is often used for more complex reconstructions.

A surgical mesh is typically placed to reinforce the repair and restore strength to the abdominal wall.

This technique is typically reserved for:

- Large or complex hernias that cannot be closed with standard methods
- Recurrent hernias after failed prior repairs
- Hernias with significant muscle separation or loss of domain
- Patients with multiple abdominal surgeries or mesh complications

Dr. Harding brings decades of experience in abdominal wall reconstruction and minimally invasive surgery to each case. His approach to component separation emphasizes:

- Precision and planning:
Every repair is tailored to the patient’s anatomy, prior surgeries, and risk factors.

- Minimally invasive options:
When appropriate, Dr. Harding uses laparoscopic or robotic-assisted techniques to reduce recovery time and surgical trauma.

- Durable outcomes:
The goal is a strong, functional abdominal wall with a low risk of recurrence.