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Patient in his 40’s presented with very large 30 centimeter by 21 centimeter abdominal hernia sustained after a remote complicated abdominal surgery. His hernia could not be reconstructed with traditional hernia techniques.Dr. Mussman was able to reconstruct the hernia with removal of the hernia sac and mobilization of the abdominal wall with component separation technique.Dr. Mussman chose to reinforce the hernia repair with acellular dermal matrix and mesh. The patient has recovered well without hernia recurrence.

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