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Complex Hernias

The fallowing factors define hernia as


complex
• BMI > 35
• Smoking
• Diabetes mellitus
• Steroid use
• Congestive heart failure
• Chronic obstructive pulmonary disease
• Intraoperative enterotomy or bowel
resection
• Urgent procedure for incarceration or
obstruction
• Hernias that result from damage control
laparotomies with sequential closing
• Hernias with contaminated wounds
from ostomies,
fistulas, or prior surgical site infections
• Recurrent hernias
• Prolonged operative time

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