ORIGINAL SCIENTIFIC REPORT Short- to Midterm Results After Posterior Component Separation with Transversus Abdominis Release: Initial Experience from India Pallawi Priya 1 • Nimisha Kantharia 2 • Jugal B. Agrawal 3 • Abhay Agrawal 3 • Laksh Agrawal 4 • Md Yusuf Afaque 5 • Amjad Syed Ali Rizvi 5 • Sarfaraz J. Baig 1 Ó Socie ´te ´ Internationale de Chirurgie 2020 Abstract Purpose Posterior component separation with transversus abdominis release is a new procedure and is quickly gaining popularity. It has shown promising results in terms of low recurrence rates for large and complex hernias. However, there are very little Indian data available on this to date. The purpose of this study was to assess the outcomes of the technique at three centers in India. Methods This was a retrospective analysis of the prospectively collected data. Patients with a minimum follow-up of 3 months who underwent open or minimal access posterior component separation were included. Results A total of 72 patients (open = 44, minimal access = 25, and hybrid = 3) were included in the analysis. At a follow-up ranging from 3 months to 35 months, there were two recurrences (2.78%). Surgical site occurrences were seen in 23/72 (31.9%), and surgical site infection was seen in 7/72 (9.7%). Surgical site occurrence requiring procedural intervention was 3/72 (4.2%). There were two (2.78%) mortalities in the open group due to myocardial infarction. Conclusion Posterior component separation with transversus abdominis release may have advantages in terms of low recurrence in large hernias in the Indian population and can be used in carefully selected patients. Pallawi Priya and Sarfaraz J. Baig contributed equally. & Pallawi Priya drpallawipriya@gmail.com Nimisha Kantharia kantharia.nimisha@gmail.com Jugal B. Agrawal jbagrawal@gmail.com Abhay Agrawal drabhay@gmail.com Laksh Agrawal lakshagrawal03@gmail.com Md Yusuf Afaque yusufafaque@gmail.com Amjad Syed Ali Rizvi rizviamjad@rediffmail.com Sarfaraz J. Baig docsarfarazbaig2@gmail.com 1 Belle Vue Clinic, 9 and 10, Loudon Street, Kolkata 700046, India 2 Bhatia Hospital, Mumbai, India 3 Seven Hills Hospital, Mumbai, India 4 MGM Hospital, Mumbai, India 5 J N Medical College, Aligarh Muslim University, Aligarh, India 123 World J Surg https://doi.org/10.1007/s00268-020-05644-6