Abdominal muscle repair

I just read the article about the abdominal wall repair on the website and it states the use of 15330-which one of the doctors would like to start using on some of the hernia repairs he does. According to the cms website it states 15330 should only be used on the integumentary system and only modifier 22 is billable with documentation.Diastasis recti surgery is similar to a tummy tuck (abdominoplasty) since it involves surgically bringing the separated muscles back together. A tummy tuck also usually involves removing excess fat...Double Board Certified plastic surgeon Dr. Tom Pousti performs abdominal muscle repair as part of Tummy Tuck procedure.Hernia repair surgery entails returning displaced tissue back into the body. Learn all about this surgery. Reviewed by board-certified surgeons. ... In an inguinal hernia, the intestines or fatty tissue bulges through the abdominal muscles in the groin area. About 75% of all hernias are inguinal. These are most common in biological males.Aug 08, 2022 · Symptoms of abdominal muscle strains include: 1. Immediate pain in the area of the injured muscle. Difficulty flexing the muscle because of this pain. Muscle spasm of the injured muscle. Swelling and bruising. An abdominal strain is sometimes confused with an epigastric hernia. This condition is when tissues in the abdomen push through the ... Feb 22, 2019 · Compressing the injured muscles helps reduce swelling and provides support for loss of strength. You can use a long, wide elastic compression wrap, a back brace or an abdominal binder. Men and women can also use a girdle. Wrap it tightly, but not so tightly that it's uncomfortable or impedes breathing. 5. There is no getting around this ruling nor do such symptoms as muscle weakness make it possible for insurance to pay for surgery. It is different if an umbilical hernia is present as this is a true defect in the abdominal wall. The same consideration applies to abdominal skin flap surgery, known as an abdominal panniculectomy. Only in large ... Direct Inguinal Hernias. Direct inguinal hernias are caused by connective tissue degeneration of the abdominal muscles, which causes weakening of the muscles during the adult years. Direct inguinal hernias occur only in males. The hernia involves fat or the small intestine sliding through the weak muscles into the groin.Aug 08, 2022 · Symptoms of abdominal muscle strains include: 1. Immediate pain in the area of the injured muscle. Difficulty flexing the muscle because of this pain. Muscle spasm of the injured muscle. Swelling and bruising. An abdominal strain is sometimes confused with an epigastric hernia. This condition is when tissues in the abdomen push through the ... Pain in the abdomen area could mean many possible things. Abdominal strains, or pulled abdominal muscle, will generally happen during intense or excessive exercising. For that reason, strains are very common in athletes or highly active individuals. Strained muscles could also happen when you make sudden, fast movements like coughing, sneezing ...Abdominal muscle strains can happen in various locations and include any of the abdominal wall muscles. ... Our board certified and fellowship-trained laparoscopic and general surgeons have performed hundreds of hernia repair operations at CentraState Medical Center in Freehold and Raritan Bay Medical Center in Old Bridge. The old adage is true ...Dr. Robin Rosenberg answered. General Surgery 45 years experience. One year: Most muscles take uo to a year to gain fullstrength but theywill never have the 100% strength of uncut muscles, proof is that herneas of the incision canocurr up to 5 years post op. Created for people with ongoing healthcare needs but benefits everyone.The image below shows a relatively mild case of a muscle diastasis which was repaired during a tummy tuck surgery. This second patient shows a more severe diastasis and subsequent repair via a tummy tuck. To learn more about what we can do for you, call our office at (647) 360-1975 (or fill our our contact form) to schedule an appointment with ...What is the treatment for an abdominal muscle strain? Immediate treatment - Involves using the P.R.I.C.E. principle - Protection, Rest, Icing, Compression, Elevation -beginning with the application of an ice pack for twenty minutes. The ice pack can be reapplied every two hours for the first two to three days post-injury.The abdominal wall protects the organs within the peritoneum. Several layers of tissue make up the wall: These layers include muscle, connective tissue and fat, peritoneal membrane, and skin. If a muscle or tissue becomes weak, an organ may protrude and create a lump beneath the skin: This is referred to as a hernia.Sep 14, 2018 · Here’s some more information about muscle repair and when it is needed. Abdominal Muscle Separation 101. Abdominal muscle separation, also called a diastasis, is very common in patients who are considering tummy tucks. The abdominal wall is made of two bands of muscles that run parallel in the middle of the stomach. These are the muscles that ... Symptoms arising from giant ventral hernia have been considered to be related to weakening of the abdominal muscles. The aim of this study was to investigate the relationship between the area of the abdominal wall defect and abdominal wall muscle strength measured by the validated BioDex system together with a back/abdominal unit. Fifty-two patients with giant ventral hernia (>10 cm ...Surgical Method For Diastasis Recti Repair. During the surgical procedure for Diastasis recti treatment, the anatomical structure of the abdominal wall is restored by bringing the fascia and muscles back into midline. It helps give the patient's back the necessary support it requires. After the correction of the abdominal wall, the entire ...A split abdominal wall muscle flap is a simple, durable way to repair a large diaphragmatic hernia. This technique has not gained widespread use, and some have suggested that it would be inappropriate in the setting of extracorporeal membrane oxygenation (ECMO) because of bleeding risk. Yes: A hernia can form in anyone who had a prior abdominal surgery. The longer incision sites have the most risk. See your doctor or surgeon for an examina... Read More. 5.1k views Answered >2 years ago. Thank. 1 thank. Dr. Gregg Nishi answered. Bariatrics 23 years experience.An abdominal hernia occurs when an organ protrudes through the wall of the abdomen. Learn about the types, symptoms, causes, treatments, and more. ... An abdominal hernia may also develop as a result of increased pressure pushing against a weakened area of muscle. ... Abdominal Hernia Repair Surgery: What to Expect July 5, 2022. Hernia Surgery ...The anterior abdominal wall can be described as the area surrounded by the costal margin and xiphoid process of the sternum superiorly, the inguinal ligament and the pelvic bone inferiorly, and laterally, the mid-axillary line. 1 The skin and fascia of the anterior abdominal wall overlie the four muscles which help support the abdominal contents and the trunk, with the main nerve supply lying ...Your abdominal wall is made up of multiple layers, with the skin being the outermost layer. Under the skin is a layer of fat. This is followed by a layer of tissue known as fascia, which is sturdy and helps prevent your intestines from bulging out. Under the fascia is a layer of muscle known as the rectus abdominis muscle (your "6-pack ...Pune. Q: I am 29 year old and was quite skinny and thin with tight and toned abdominal muscles before I delivered a baby. Six months after delivery, my stomach looked abnormal so I saw a doctor who said I had a hernia. I got it repaired 7 weeks ago but still I feel my muscles are abnormal.A: In a c-section, 6-7 incisions are made throughout the process. Although the abdominal muscles themselves are not cut, the fascia which connects them is cut and this allows the doctor to pull the muscles apart in order to get to the next layer of fascia.This is not uncommon after pregnancies and can potentially result in a range of issues including abdominal laxity, herniation of abdominal contents, and back pain because of inadequate core strength. Whilst the separated rectus muscles can be repaired through a direct incision, such an approach generally results in a readily visible scar.The technical term is diastasis recti, and it affects many new moms. The growing fetus pushes apart the abdominal muscles, and the separation often stays open. But science suggests this fix can work.Feb 15, 2014 · Repairing Separated Abdominal Muscles after Pregnancy. As the abdomen expands during pregnancy, the skin becomes stretched, which is often evident by stretch marks. If the skin is inelastic, it will not shrink back to its pre-pregnancy formation. Another common occurrence, especially after multiple pregnancies, is the loosening or separation of ... Safe mesh repair: Prosthetic or biologic mesh to repair openings that are too large for a primary technique; mesh is placed in such a way that complications are rare Complex hernia and abdominal wall repair : Combination of primary and mesh repair techniques, which can include muscle flaps for complete coverage of the abdomen1 day ago · Interesting facts about abdominal muscles: ... Rest is helpful to relieve discomfort and allow muscle strains to repair. If you experience severe pain in your abdominal muscles, consult a ... jaipur gems bangalore How to repair the damaged abdominal muscle or tummy muscles separation? Miami based very experienced and board certified plastic surgeon Dr. Mel Ortega is...Mar 20, 2019 · If your abdominal muscle tear is not serious enough to require a specialist consultation, your doctor will send you home with treatment instructions. Typically this involves rest, ice and compression, meant to protect the muscle from further injury and reduce pain and swelling. Jun 30, 2021 · Separation of the abdominal muscles can be significant problem and it most commonly affects pregnant women and obese people. Luckily the surgery has evolved over the years and one surgical procedure can bring the abdominal muscles together and make them firmer than they used to be. Abdominoplasty A binder brace for the stomach applies compression to your low back as well as your upper and lower abdomen. The compression and support provided have a number of benefits that make this belly band great for treating a variety of things, including: Diastasis recti (stomach muscle separation) Early stage abdominal hernias or post hernia surgery.A split abdominal wall muscle flap is a simple, durable way to repair a large diaphragmatic hernia. This technique has not gained widespread use, and some have suggested that it would be inappropriate in the setting of extracorporeal membrane oxygenation (ECMO) because of bleeding risk. This is not uncommon after pregnancies and can potentially result in a range of issues including abdominal laxity, herniation of abdominal contents, and back pain because of inadequate core strength. Whilst the separated rectus muscles can be repaired through a direct incision, such an approach generally results in a readily visible scar.I just read the article about the abdominal wall repair on the website and it states the use of 15330-which one of the doctors would like to start using on some of the hernia repairs he does. According to the cms website it states 15330 should only be used on the integumentary system and only modifier 22 is billable with documentation.Inguinal hernias Inguinal Hernia An inguinal hernia is a protrusion of a piece of intestine or another abdominal organ through an opening in the abdominal wall in the groin. People have a painless bulge in the groin or scrotum... read more appear in the crease of the groin or in the scrotum. They are more common among men. There are two types, direct and indirect, depending on exactly where ...Ohio State's plastic surgery hernia care team focuses on hernia repair and abdominal core health. Your abdominal core includes the muscles and structures from side to side and back to back — from your diaphragm to your pelvis. Treatment usually includes surgery to repair the hole. For more complex hernias, the procedure includes abdominal ...Diastasis Recti is a stretched separation of the abdominal wall that keeps the core from functioning optimally and can allow your organs to push forward, contributing to a bulging tummy and increase the risk of a hernia. In addition, this overall Functional Core Weakness also contributes to digestive tract issues, and prostate issues problems.Fixing Separated Abdominal Muscles with a Tummy Tuck. When tummy tuck candidates see Clearwater’s Dr. Moraitis to resolve separated abdominal muscles, he makes a large incision on their lower abdomen, from hip to hip. This incision gives him access to their abdominal muscles, which he then sutures back together so that they resolve any of the ... Ohio State's plastic surgery hernia care team focuses on hernia repair and abdominal core health. Your abdominal core includes the muscles and structures from side to side and back to back — from your diaphragm to your pelvis. Treatment usually includes surgery to repair the hole. For more complex hernias, the procedure includes abdominal ...Request PDF | On Apr 29, 2013, Tim Söderlund and others published Acute repair of traumatic abdominal muscle avulsion from iliac crest: A mesh-free technique using suture anchors | Find, read and ... not shaved girls The usual treatment for a hernia is surgery to repair the opening in the muscle wall. There are various surgical strategies that may be considered in the planning of inguinal hernia repair. These include the consideration of mesh use, type of open repair and use of laparoscopy, a more minimally invasive approach to abdominal surgery.35221, Repair blood vessel, direct; intraabdominal; 97606, ... Many abdominal wounds need some form of debridement prior to, or at the time of, definitive closure. CPT codes 11042-11047 are debridement codes arranged by depth and size of debridement. ... The muscle flap code 15734 (muscle, myocutaneous, or fasciocutaneous flap; trunk) ...The abdominal muscles are integral for transferring forces from the lower extremities to the upper extremity during throwing or racquet sports, and they work eccentrically to decelerate the trunk. 35, 37, 45, 46, 50 - 53 EMG analysis of professional baseball players documented that batting and pitching activities require the abdominal muscles ...An abdominal hernia occurs when an organ protrudes through the wall of the abdomen. Learn about the types, symptoms, causes, treatments, and more. ... An abdominal hernia may also develop as a result of increased pressure pushing against a weakened area of muscle. ... Abdominal Hernia Repair Surgery: What to Expect July 5, 2022. Hernia Surgery ...An abdominal muscle strain, also called a pulled abdominal muscle, is an injury to one of the muscles of the abdominal wall. A muscle strain occurs when the muscle is stretched too far. When this occurs, the muscle fibers are torn. Most commonly, a strain causes microscopic, or tiny, tears within the muscle.Your doctor can repair a hernia with surgery to bring the tissue together and close the gap. They may use mesh to provide further strength. This can be done through a single large incision, or cut. Doctors call this "open" surgery), or through several small incisions (called laparoscopic or robotic surgery). The operation is called laparoscopic or robotic ventral hernia repair.Surgeons can recommend a variety of procedures to correct abdominal laxity, including an umbilical float modified tummy tuck, a mini tummy tuck, or even a full abdominoplasty, which can be performed with or without abdominal muscle repair or liposuction. While these procedures are effective, you should consider other ways of tightening your ...The conjoint tendon, also known as the inguinal aponeurotic falx or Henle's ligament, is a condensation of tissue that runs through the lateral edge of the lower rectus sheath. It is located in the inferior abdomen and is formed from the common aponeurosis of the internal oblique muscle and transverse abdominis muscle, although they can be separated.[1] The fibers turn inferiorly and insert ...The current practice to avoid incisional hernia, one of the most frequent complications following abdominal surgery, is to minimize core muscle activity in the postoperative phase. Therefore the patients are instructed not to bear or lift weights and to limit physical activities in the first 8-12 weeks after surgery. low maintenance gardens for the elderlyA binder brace for the stomach applies compression to your low back as well as your upper and lower abdomen. The compression and support provided have a number of benefits that make this belly band great for treating a variety of things, including: Diastasis recti (stomach muscle separation) Early stage abdominal hernias or post hernia surgery.Jan 11, 2022 · Third Degree Abdominal Muscle Strain – A third degree muscle strain is the most severe injury and is diagnosed as a complete muscle rupture either at its insertion, origin, or midsection. Along with the symptoms of a second degree muscle strain, the athlete may also experience the symptoms of shock including nausea, vomiting, pale skin ... Dr. Anastasatos is an excellent choice for your Rectus Muscle Repair Surgery in Los Angeles. The standard abdominoplasty or standard tummy tuck is a cosmetic procedure that addresses the stretching changes that affect the whole abdominal wall. That includes the abdominal skin, the subcutaneous fat, and the underlying rectus abdominis muscles.Repairing Separated Abdominal Muscles after Pregnancy. As the abdomen expands during pregnancy, the skin becomes stretched, which is often evident by stretch marks. If the skin is inelastic, it will not shrink back to its pre-pregnancy formation. Another common occurrence, especially after multiple pregnancies, is the loosening or separation of ...1 day ago · Interesting facts about abdominal muscles: ... Rest is helpful to relieve discomfort and allow muscle strains to repair. If you experience severe pain in your abdominal muscles, consult a ... Repair left abdomen muscle [by approach; includes codes 0KQL0ZZ, 0KQL3ZZ, 0KQL4ZZ] ICD-10 Diagnosis . For the following diagnoses when specified as diastasis recti: ... A procedure involving the removal of excess abdominal skin and fat with or without tightening lax anterior abdominal wall muscles and with or without repositioning or ...Abdominal muscle strains can happen in various locations and include any of the abdominal wall muscles. ... Our board certified and fellowship-trained laparoscopic and general surgeons have performed hundreds of hernia repair operations at CentraState Medical Center in Freehold and Raritan Bay Medical Center in Old Bridge. The old adage is true ...1 day ago · Interesting facts about abdominal muscles: ... Rest is helpful to relieve discomfort and allow muscle strains to repair. If you experience severe pain in your abdominal muscles, consult a ... Abdominal Strain vs. Hernia Symptoms What Does a Strained Abdominal Muscle Feel Like? The surface of your stomach area may feel tender and inflamed if you have a strained abdominal muscle. Other symptoms include sudden sharp pain, and you're more likely to feel these sensations when you're contracting your abdominal muscles and moving.Safe mesh repair: Prosthetic or biologic mesh to repair openings that are too large for a primary technique; mesh is placed in such a way that complications are rare Complex hernia and abdominal wall repair : Combination of primary and mesh repair techniques, which can include muscle flaps for complete coverage of the abdomenFixing Separated Abdominal Muscles with a Tummy Tuck. When tummy tuck candidates see Clearwater’s Dr. Moraitis to resolve separated abdominal muscles, he makes a large incision on their lower abdomen, from hip to hip. This incision gives him access to their abdominal muscles, which he then sutures back together so that they resolve any of the ... The muscle is enclosed within the rectus sheath formed by the aponeuroses of the lateral abdominal muscles. Along the length of this strap muscle there are three fibrous intersections separating the muscle into four segments. The fibrous intersections are attached to the anterior surface of the rectus sheath, but not to the posterior surface.Many activities can increase abdominal pressure and increase your risk of a hernia, from frequent coughing and lifting heavy objects to being overweight and straining during bowel movements. Age-related muscle degeneration and an earlier wound or a healed surgical incision also create weak areas in the muscle that are susceptible to a hernia. All buildings need a solid foundation. If a corner of that foundation crumbles, the building will weaken. The same thing happens with an abdominal wall defect, such as a hernia or diastasis recti - muscle separation due to pregnancy.. Instead of having solid support to walk, sit, or bend, you have muscle weakness that can impair your quality of life, including back and joint pain, decreased ...The muscle is enclosed within the rectus sheath formed by the aponeuroses of the lateral abdominal muscles. Along the length of this strap muscle there are three fibrous intersections separating the muscle into four segments. The fibrous intersections are attached to the anterior surface of the rectus sheath, but not to the posterior surface.Many activities can increase abdominal pressure and increase your risk of a hernia, from frequent coughing and lifting heavy objects to being overweight and straining during bowel movements. Age-related muscle degeneration and an earlier wound or a healed surgical incision also create weak areas in the muscle that are susceptible to a hernia. car makes clicking sound when stopping Sep 14, 2018 · Here’s some more information about muscle repair and when it is needed. Abdominal Muscle Separation 101. Abdominal muscle separation, also called a diastasis, is very common in patients who are considering tummy tucks. The abdominal wall is made of two bands of muscles that run parallel in the middle of the stomach. These are the muscles that ... These do not occur on their own but occur as a result of complications of abdominal surgery. Once a person's abdominal area is surgically cut or incision for surgical repair of another condition though the muscles are sutured back, the incision area becomes weak, making it prone to hernia. This can be due to improperly healed surgical wounds.1 day ago · Interesting facts about abdominal muscles: ... Rest is helpful to relieve discomfort and allow muscle strains to repair. If you experience severe pain in your abdominal muscles, consult a ... Frequently asked questions about laparoscopic repair of rectus diastasis. Distasis recti or Divarication of rectus is a very common occurrence in multiparous women, caused by repeated stretching of the abdominal wall through the gravid uterus. Diastasis recti is a separation between the left and right side of the rectus abdominis muscle, which ...Aug 08, 2022 · Symptoms of abdominal muscle strains include: 1. Immediate pain in the area of the injured muscle. Difficulty flexing the muscle because of this pain. Muscle spasm of the injured muscle. Swelling and bruising. An abdominal strain is sometimes confused with an epigastric hernia. This condition is when tissues in the abdomen push through the ... abdominal laparotomies.1,2 The ability to perform a reliable, durable ventral hernia repair with low morbidity and recur-rence rate has become a significant problem for today's general surgeon. Alarmingly, hernia repair failure rates range from 25% to 54% for primary suture repair, and up to 32% for open mesh repair.3-8 The retromuscular ...The Component Separation Technique is a bilateral rectus abdominis muscle advancement flap. It is used to reconstitute the linea alba, reduce abdominal wall tension, and provide a dynamic abdominal wall in patients with large abdominal wall defects. This component separation technique restores the structural support of the abdominal wall ...Ventral Hernia Repair and . abdominal muscles may also need to be moved during your surgery. ibuprofen (Advil, Motrin. to help prevent pneumonia. This handout explains surgery to repair a ventral hernia. It explains why Your Surgery . When you have a large abdominal hernia: • Your abdominal muscles may need to be moved to fill in the area left byHernia repair surgery entails returning displaced tissue back into the body. Learn all about this surgery. Reviewed by board-certified surgeons. ... In an inguinal hernia, the intestines or fatty tissue bulges through the abdominal muscles in the groin area. About 75% of all hernias are inguinal. These are most common in biological males.Don’t take risks that could prolong your recovery. You benefit from our doctors’ decades of combined experience that will ensure you receive proper attention to get you back on your feet. Don’t let an injury like a muscle tear set you back. Call Center for Orthopedic Surgery and Sports Medicine at (210) 692-7400 or click here today. Find Top Abdominal Muscle Seperation (Diastasis Recti) Doctors by State. See reviews, times, & insurances accepted.Summary. An abdominal hernia repair is the surgical correction of an abdominal hernia. A hernia is a condition in which an organ or another structure protrudes through a weak part of tissue or muscle. In some cases, a hernia can create a visible lump or bulge in the skin. An abdominal hernia repair returns the organ or structure to its proper ...Pelvic Prolapse Repair. Urology. Figure 1. Laparoscopic approach. For many women, prolapse can include descent of the uterus, vagina, bladder and/or rectum resulting in a "bulging" sensation within the vagina. In some cases, frank protrusion of these organs can occur. Pelvic organ prolapse can result in symptoms including urinary leakage ...Abdominal wall reconstruction is a surgery involving the reconstruction of the abdominal wall in order to restore anatomy and function. For example, abdominal wall reconstruction can be used to repair a hernia of the front of the abdomen. The abdominal wall (or the belly) is made up of skin, several layers of tissue, including fat and muscle.During abdominal hernia repair surgery, your surgeon: Puts you to sleep with general anesthesia. Makes one large incision (or multiple tiny incisions) near the affected area to reach the hernia. Pushes the bulging tissue back where it belongs (reducing the hernia). Repairs the weakened muscle and connective tissues by closing the hole (hernia ... orangevale police logpacific private money fund i llc Endometriosis tends to recur in surgical scars. 7, 8 Hematomas of the abdominal wall or rectus sheath can occur spontaneously or after surgery, trauma or pregnancy. 9, 10 Desmoid tumors can also ...The gracilis muscle, located at the inner portion of the thigh, originates from the lower aspect of the anterior part of the pelvis and passes adjacent to the groin, throughout the inner part of the thigh, toward the knee. Its main innervation and blood supply enter the muscle proximally, near the groin, making it an ideal candidate for ...The fundamental reason for diastasis recti is too much pressure on the abdominal muscles. As a result, your muscles have to stretch and separate, which leads to a bulge. In addition to pregnancy, obesity is a highly possible catalyst for this problem. The concentration of excess fat may make your stomach muscles suffer from more pressure.Repairing Separated Abdominal Muscles after Pregnancy. As the abdomen expands during pregnancy, the skin becomes stretched, which is often evident by stretch marks. If the skin is inelastic, it will not shrink back to its pre-pregnancy formation. Another common occurrence, especially after multiple pregnancies, is the loosening or separation of ...Official Definition: Diastasis Recti, also known as, abdominal separation, divarication of the recti, rectus distension or recti split, is defined as a separation of the rectus abdominis muscle into right and left halves. Normally, the two sides of the muscle are joined at the linea alba at the body mid-line.Apr 07, 2022 · Pulled Lower Abdominal Muscle Strain Symptoms. Pain in your abdomen that increases with activity; Stiffness and lack of flexibility; Spasms and muscle cramps that can happen either in the abdomen directly or in surrounding muscles; A feeling of weakness in the area and a need to brace when opening doors, standing up, or moving about in bed Find Top Abdominal Muscle Seperation (Diastasis Recti) Doctors by State. See reviews, times, & insurances accepted.As you exhale, pull your bellybutton in and pelvic floor muscles up while using your hands to wrap the right and left side of your abdominal muscles gently toward one another. This exercise can be done while pregnant and it is also a great way to help alleviate DR postpartum. Show Instructions 2. Supine 90/90 Transverse Abdominis HoldFeb 15, 2014 · Repairing Separated Abdominal Muscles after Pregnancy. As the abdomen expands during pregnancy, the skin becomes stretched, which is often evident by stretch marks. If the skin is inelastic, it will not shrink back to its pre-pregnancy formation. Another common occurrence, especially after multiple pregnancies, is the loosening or separation of ... There is no getting around this ruling nor do such symptoms as muscle weakness make it possible for insurance to pay for surgery. It is different if an umbilical hernia is present as this is a true defect in the abdominal wall. The same consideration applies to abdominal skin flap surgery, known as an abdominal panniculectomy. Only in large ... During abdominal hernia repair surgery, your surgeon: Puts you to sleep with general anesthesia. Makes one large incision (or multiple tiny incisions) near the affected area to reach the hernia. Pushes the bulging tissue back where it belongs (reducing the hernia). 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