Case Report: Combined posterior and anterior compartment separation in giant incisional hernia repair: balancing feasibility and postoperative complications

This case highlights the superior role of posterior compartment separation (TAR) in achieving durable and tension-free closure of giant incisional hernias, particularly in complex cases following major vascular surgeries. Although anterior component separation remains an option, its routine use should be reconsidered due to the increased risk of complications. This case reinforces the necessity of a tailored, multidisciplinary approach, emphasizing posterior reinforcement over anterior techniques to optimize patient outcomes.