1 Department of General Surgery, Faculty of Medicine, October 6 University, Egypt
* Corresponding Author: Mohammed Gaddaf Addam Ahmed Masoud. Phone No.: 0 11 25780509. Email: Mmgag57@gmail.com
Reconstruction of midline anterior abdominal wall defects remains a challenging surgical problem. Several surgical techniques have been developed to restore abdominal wall integrity and function while minimizing postoperative complications and recurrence. The current study aim to compare the clinical outcomes of open component separation (OCS) and static mesh repair in the management of moderate midline anterior abdominal wall defects measuring 6–10 cm. This prospective randomized comparative study was conducted on 100 patients with midline anterior abdominal wall defects measuring 6–10 cm. Patients were randomly allocated into two groups: Group A underwent open component separation repair, while Group B underwent static mesh repair. Operative time, hospital stay, postoperative pain, complications, intra-abdominal pressure (IAP), recurrence, and quality of life (EQ-5D) were evaluated. Operative time was significantly longer in the OCS group compared with the static repair group. Patients in the OCS group also experienced longer hospital stay and higher early postoperative pain scores. In contrast, seroma formation was more frequently observed in the static repair group. Intra-abdominal pressure measured before fascial closure was higher in the static repair group compared with the OCS group. No significant differences were observed between the two groups regarding surgical site infection, hematoma, skin necrosis, recurrence, or postoperative quality of life. Both open component separation and static mesh repair represent effective surgical options for the management of moderate abdominal wall defects. OCS facilitates tension-free fascial closure with lower intra-abdominal pressure, whereas static repair provides shorter operative time and faster early recovery. The choice of technique should therefore be individualized according to defect characteristics and patient factors.
Keywords: Dynamic Reconstruction, Open Component Separation, Static Reconstruction, Midline Anterior, Abdominal Wall
How to cite this article: Gharib AZ, Zedan MH, Masoud AAMGA. Comparative Study of Dynamic versus Static Reconstruction for Midline Anterior Abdominal Wall Weakness. Int J Drug Deliv Technol. 2026;16(5): 341-347. DOI: 10.25258/ijddt.16.5.36
Source of support: Nil.
Conflict of interest: None