Rodríguez JM, López-Monclús J, Méndez CSM, et al. - Researchers conducted a multicenter study investigating the operative and patient-reported outcomes using a modified posterior component separation in patients who present with the combination of midline and lateral incisional hernia (MLIH). They identified 48 patients who underwent operative repairs of a MLIH at four centers with minimum 2-year follow-up. Management comprised a transversus abdominis release (TAR) in 26 patients (45%), a modification of TAR 27 (47%), a reverse TAR in 3 (5%), and a primary, lateral retromuscular preperitoneal approach in 2 (3%). Acceptable results were achieved with the different techniques of posterior component separation in the treatment of combined MILH, despite the associated high complexity. A clinically important improvement in quality of life and pain was suggested by patient-reported outcomes after measurement of the EuraHS-QoL score.