Surgery MCQ 67

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The following statement(s) is/are true concerning abdominal incisional hernias.

    1. Large incisional hernias are associated with a high recurrence rate when closed primarily

    2. A large potential space remains anterior to the abdominal wall closure in most patients indicating a need for postoperative wound drainage

    3. The use of prosthetic mesh can often be avoided by employing relaxing incisions in the anterior fascia parallel to the midline

    4. Incisional hernias are frequently associated with a tissue deficit either due to chronic retraction and scarring or the result of tissue necrosis from either infection or tension at the initial closure

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