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ALL PICTURES HAVE BEEN OBTAINED WITH WRITTEN CONSENT BY PATIENTS
CLINICAL CASE 1: Multirecurrent incisional midline hernia
YOUNG PATIENT OF 57, Operated up to 15 times for hernias of the abdominal wall, all with poor results. The decision to perform an operation is made in April 2019, through the novel technique of component separation that allows defects to be reconstructed by releasing the muscleTransverse and reimplantation of the lateral muscles (modification of the ART ofMadrid) that we have described here: Langenbecks Arch Surg.



CLINICAL CASE 2: Midline incisional hernia with loss of domain
Young patient with hernia operated on digestive bleeding.
RESULTS PER YEAR The patient underwent a surgery of more than 6 hours, in which a reduction of the hernia, reconstruction of the abdominal wall by subsequent separation of components and associated dermolipectomy was performed, as we describe here: World J Surg. 2019;43(1):149-158.



CLINICAL CASE 3: Big thoracolumbar hernia
ELDERLY PATIENT WITH GIANT LUMBAR EVENTRATIONThe patient had a large hernia between the end of the ribs and contained the lung and liver. The patient was operated on, reintroducing her organs, repairing the diaphragm and reconstructing the lateral abdominal wall through a preperitoneal retromuscular approach with «reverse» ART, as we have published:

