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== '''Management principles''' == * Goals ** Fix the problem/restoration of function in line with patient expectations ** Minimise complications, pain, disability ** Cosmesis ** Durable repair with low recurrence rate ** Functional/dynamic abdominal wall * Principles ** Optimise patient pre-op ** Restore anatomy and recreate linea alba ** Reinforce the repair when possible with wide mesh overlap ** Tension-free repair * Contraindications to operation ** Medically/surgically unfit ** Absence of available tissue ** No benefit or improvement in QoL ** Risks outweigh benefits
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