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OBJECTIVE: Division of the tendon of insertion of the external oblique (EO) muscle, also called “separation of parts” (SOP), is often performed as an adjunct to ventral hernia repair (VHR). SOP has been most commonly conceptualized as a “relaxing” maneuver to allow tissue movement and approximation of the abdominal myofascia in the midline. We hypothesize that SOP increases abdominal wall compliance, counteracting the mechanical changes resulting from a chronic midline ventral hernia.

Separation of Parts Reduces Stiffness and Increases Compliance of the Abdominal Wall in a Rat Model of Chronic Ventral Hernia