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For abdominoplasty, if you have a hernia being simultaneously repaired, include that you don’t want a mesh hernia repair, because of your increased risk of needing later abdominal surgery for bowel blockage, and because you form adhesions. Instead, you want abdominal muscle plication to support the repair, which will also serve to strengthen your abdominal wall (stretched and weakened by your prior morbid obesity, and pregnancies if applicable) against future hernias.
 

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