161:
this manner, the weakened tissue of the original hernia is never re-incised to perform the repair, and one can minimize the potential for wound complications such as infections. In addition, performance of the operation through smaller incisions can make the operation less painful and speed recovery. Laparoscopic repair has been demonstrated to be safe and a more resilient repair than open incisional hernia repair.
153:
incision required to perform this surgery. A mesh infection after this type of hernia repair most frequently requires a complete removal of the mesh and ultimately results in surgical failure. In addition, large incisions required for open repair are commonly associated with significant postoperative pain. Reported recurrence rates after open repair are up to 20% and influenced by mesh size and fixation type.
152:
Traditional "open" repair of incisional hernias can be quite difficult and complicated. The weakened tissue of the abdominal wall is re-incised and a repair is reinforced using a prosthetic mesh. Complications, particularly infection of the incision, frequently occur because of the large size of the
160:
Laparoscopic incisional hernia repair is a new method of surgery for this condition. The operation is performed using surgical microscopes and specialized instruments. The surgical mesh is placed into the abdomen underneath the abdominal muscles through small incisions to the side of the hernia. In
156:
Regeneration by autologous tissue stem cells is a unique method for repair of large incisional hernias. It not only obviates causative factors responsible for herniation but utilises these factors to strengthen repair and regeneration of traumatised tissues.
71:
Clinically, incisional hernias present as a bulge or protrusion at or near the area of a surgical incision. Virtually any prior abdominal operation can develop an incisional hernia at the scar area (provided adequate
1534:
400:
Sharma, A.; Dey, A.; Baijal, M.; Chowbey, P.K. (2011). "Laparoscopic repair of suprapubic hernias: transabdominal partial extraperitoneal (TAPE) technique".
124:, or infection, all of which result in decreased wound healing. They may also be caused by increased intra-abdominal pressure due to a chronic cough (as in
712:
265:
Edwards, C.; Geiger, T.; Bartow, K.; et al. (2009). "Laparoscopic transperitoneal repair of flank hernias: A retrospective review of 27 patients".
1216:
104:
technique under tension. For this reason, it is especially advised that these be repaired via a tension free repair method using a synthetic
92:. While incisional hernias can occur at any incision, they tend to occur more commonly along a straight line from the xiphoid process of the
624:
Gurusamy, Kurinchi Selvan; Allen, Victoria B (2013-12-17), The
Cochrane Collaboration (ed.), "Wound drains after incisional hernia repair",
811:
850:
705:
63:
due to their location. Not all ventral hernias are from incisions, as some may be caused by other trauma or congenital problems.
540:
Nguyen, S.Q.; Divino, C.M.; Buch, K.E.; Schnur, J.; Weber, K.J.; Katz, L.; Reiner, M.A.; Aldoroty, R.A.; Herron, D.M. (2008).
1078:
990:
730:
100:, and are more complex in these regions. Hernias in these areas have a high rate of recurrence if repaired via a simple
1291:
698:
1963:
1810:
445:"Regeneration of Abdominal Wall Aponeurosis: New Dimension in Marlex Peritoneal Sandwich Repair of Incisional Hernia"
1708:
164:
It is uncertain whether wound drains insertion after incisional hernia repair is associated with better outcomes.
1849:
1461:
1444:
949:
944:
821:
308:
Schumpelick, V.; Klinge, U.; Junge, K.; Stumpf, M. (2004). "Incisional abdominal hernia: the open mesh repair".
1703:
1659:
1553:
1375:
974:
542:"Postoperative pain after laparoscopic ventral hernia repair: A prospective comparison of sutures versus tacks"
1914:
1760:
1669:
1188:
796:
133:
883:
1249:
1178:
779:
1522:
1478:
1431:
1237:
855:
1868:
1548:
1183:
1141:
954:
829:
816:
786:
757:
673:
116:
Incisional hernias are usually caused by a weakness of the surgical wounds, which may be caused by
1793:
1570:
1311:
1103:
762:
1873:
1597:
1580:
964:
840:
791:
752:
722:
1805:
1724:
1713:
1674:
1602:
905:
1844:
1788:
1609:
1505:
1088:
1083:
917:
835:
801:
52:
8:
1938:
1748:
1641:
1624:
1585:
1558:
1510:
1353:
1330:
1323:
1272:
1244:
1166:
1161:
1156:
1073:
690:
499:
Bingener, J.; Buck, L.; Richards, M.; Michalek, J.; Schwesinger, W.; Sirinek, K. (2007).
489:
The technique is now published in R. Maingot's textbook of abdominal operations in 1997.
1950:
1815:
1798:
1783:
1770:
1753:
1619:
1254:
1146:
1118:
1052:
878:
774:
739:
606:
558:
541:
472:
444:
425:
382:
333:
290:
242:
217:
1909:
1282:
637:
610:
598:
563:
522:
464:
417:
386:
374:
325:
282:
247:
218:"Burst abdomen and incisional hernia: a prospective study of 1129 major laparotomies"
198:
30:
678:
476:
429:
337:
294:
2000:
1975:
1895:
1890:
1880:
1742:
1614:
1542:
1360:
1267:
1262:
1192:
1151:
959:
924:
633:
629:
590:
553:
512:
456:
409:
364:
317:
274:
237:
229:
190:
81:
1933:
1863:
1729:
1664:
1629:
1500:
1365:
1301:
1203:
1122:
1113:
1063:
1003:
888:
865:
194:
101:
76:
does not occur due to infection), including large abdominal procedures such as
35:
1970:
1885:
1439:
1412:
1277:
1212:
1208:
1098:
1068:
517:
500:
51:
caused by an incompletely-healed surgical wound. Since median incisions in the
594:
413:
321:
278:
1994:
1903:
1856:
1649:
1592:
1575:
1487:
1232:
1059:
934:
900:
845:
233:
105:
93:
1778:
1690:
1563:
1466:
1417:
1402:
1397:
1393:
1306:
1131:
1047:
939:
929:
895:
641:
602:
581:
LeBlanc, K.A. (2005). "Incisional hernia repair: Laparoscopic techniques".
567:
526:
468:
421:
378:
329:
286:
202:
129:
97:
85:
251:
1958:
1720:
1698:
1529:
1449:
1093:
994:
747:
89:
665:
1734:
1407:
1385:
1030:
969:
460:
77:
56:
1684:
1654:
1517:
1495:
1348:
1199:
1173:
1035:
1025:
912:
873:
806:
369:
352:
137:
1318:
1296:
1008:
117:
501:"Long term outcomes in laparoscopic vs open ventral hernia repair"
1370:
1136:
1040:
1012:
628:(12), Chichester, UK: John Wiley & Sons, Ltd: CD005570.pub4,
141:
73:
1836:
1454:
1340:
121:
48:
443:
Matapurkar, B.G.; Bhargave, A.; Dawson, L.; Sonal, B. (1999).
1286:
1016:
442:
353:"Biomechanical abdominal wall model applied to hernia repair"
498:
307:
125:
720:
59:, ventral incisional hernias are often also classified as
351:
Lyons, M.; Mohan, H.; Winter, D.C.; Simms, C.K. (2015).
539:
399:
181:
Park, E.; Roth, J.S. (2006). "Abdominal wall hernia".
350:
144:. They can also result from poor surgical technique.
655:
264:
1992:
215:
546:Journal of Society of Laparoendoscopic Surgery
706:
623:
216:Bucknall, T.E.; Cox, P.J.; Ellis, H. (1982).
812:Esophagogastric junction outflow obstruction
851:Esophageal intramural pseudodiverticulosis
713:
699:
557:
516:
368:
241:
180:
626:Cochrane Database of Systematic Reviews
580:
1993:
1835:
1079:Small intestinal bacterial overgrowth
694:
66:
13:
14:
2012:
1964:Spontaneous bacterial peritonitis
1811:Exocrine pancreatic insufficiency
651:
1709:Secondary sclerosing cholangitis
950:Gastric antral vascular ectasia
945:Portal hypertensive gastropathy
822:Gastroesophageal reflux disease
617:
574:
533:
84:, and small incisions, such as
1704:Primary sclerosing cholangitis
1554:Hepatic veno-occlusive disease
1376:Solitary rectal ulcer syndrome
634:10.1002/14651858.cd005570.pub4
492:
483:
436:
393:
344:
301:
258:
209:
174:
1:
1761:Sphincter of Oddi dysfunction
167:
132:, urinary obstruction (as in
90:abdominal exploratory surgery
57:abdominal exploratory surgery
1670:Postcholecystectomy syndrome
1189:Intestinal pseudoobstruction
797:Esophageal motility disorder
195:10.1067/j.cpsurg.2006.02.004
147:
7:
10:
2017:
1655:Gallstone / Cholelithiasis
1179:Functional colonic disease
975:Zollinger–Ellison syndrome
518:10.1001/archsurg.142.6.562
1949:
1828:
1769:
1683:
1640:
1486:
1477:
1430:
1384:
1339:
1225:
1112:
1002:
989:
864:
856:Acute esophageal necrosis
738:
729:
659:
595:10.1007/s00268-005-7971-1
414:10.1007/s00464-010-1513-0
322:10.1007/s00423-003-0352-z
279:10.1007/s00464-009-0477-4
29:
24:
955:Gastric dumping syndrome
830:Laryngopharyngeal reflux
817:Diffuse esophageal spasm
583:World Journal of Surgery
449:World Journal of Surgery
234:10.1136/bmj.284.6320.931
111:
1571:Alcoholic liver disease
1104:Bile acid malabsorption
1048:Peptic (duodenal) ulcer
1581:Hepatic encephalopathy
965:Buried bumper syndrome
896:Peptic (gastric) ulcer
780:Mallory–Weiss syndrome
723:human digestive system
1806:Pancreatic pseudocyst
1675:Porcelain gallbladder
787:Zenker's diverticulum
310:Langenbecks Arch Surg
96:straight down to the
1610:Hepatorenal syndrome
1549:Budd–Chiari syndrome
1506:Autoimmune hepatitis
1331:Intestinal adhesions
1089:Short bowel syndrome
918:Functional dyspepsia
836:Esophageal stricture
802:Nutcracker esophagus
1749:Choledocholithiasis
1620:Metabolic disorders
1586:Acute liver failure
1559:Portal hypertension
1511:Alcoholic hepatitis
1354:Radiation proctitis
1273:Mesenteric ischemia
1245:Gastroenterocolitis
1074:Blind loop syndrome
884:Ménétrier's disease
792:Barrett's esophagus
1924:Undefined location
1915:Grynfeltt–Lesshaft
1816:Pancreatic fistula
1799:Pancreatic abscess
1754:Biliary dyskinesia
1725:Mirizzi's syndrome
1226:Large and/or small
906:Dieulafoy's lesion
775:Boerhaave syndrome
461:10.1007/PL00012326
67:Signs and symptoms
16:Surgical condition
1988:
1987:
1984:
1983:
1824:
1823:
1426:
1425:
1283:Bowel obstruction
985:
984:
688:
687:
273:(12): 2692–2696.
228:(6320): 931–933.
55:are frequent for
45:incisional hernia
41:
40:
25:Incisional hernia
19:Medical condition
2008:
1976:Pneumoperitoneum
1833:
1832:
1743:Common bile duct
1625:Wilson's disease
1615:Peliosis hepatis
1484:
1483:
1361:Proctalgia fugax
1268:Abdominal angina
1193:Ogilvie syndrome
1142:Pseudomembranous
1000:
999:
960:Gastric volvulus
925:Pyloric stenosis
736:
735:
721:Diseases of the
715:
708:
701:
692:
691:
657:
656:
645:
644:
621:
615:
614:
589:(8): 1073–1079.
578:
572:
571:
561:
537:
531:
530:
520:
496:
490:
487:
481:
480:
440:
434:
433:
408:(7): 2147–2152.
397:
391:
390:
372:
370:10.1002/bjs.9687
348:
342:
341:
305:
299:
298:
262:
256:
255:
245:
213:
207:
206:
178:
86:appendix removal
82:vascular surgery
22:
21:
2016:
2015:
2011:
2010:
2009:
2007:
2006:
2005:
1991:
1990:
1989:
1980:
1945:
1934:Internal hernia
1820:
1765:
1730:Biliary fistula
1688:
1679:
1665:Adenomyomatosis
1660:Cholesterolosis
1636:
1630:Hemochromatosis
1501:Viral hepatitis
1473:
1422:
1380:
1366:Rectal prolapse
1335:
1302:Fecal impaction
1292:Intussusception
1255:Crohn's disease
1221:
1204:Toxic megacolon
1116:
1114:Large intestine
1108:
1053:Curling's ulcer
1006:
1004:Small intestine
993:
981:
889:Gastroenteritis
860:
725:
719:
689:
684:
683:
668:
654:
649:
648:
622:
618:
579:
575:
538:
534:
497:
493:
488:
484:
441:
437:
398:
394:
363:(2): e133-139.
349:
345:
306:
302:
263:
259:
214:
210:
183:Curr Probl Surg
179:
175:
170:
150:
114:
69:
61:ventral hernias
36:General surgery
20:
17:
12:
11:
5:
2014:
2004:
2003:
1986:
1985:
1982:
1981:
1979:
1978:
1973:
1971:Hemoperitoneum
1968:
1967:
1966:
1955:
1953:
1947:
1946:
1944:
1943:
1942:
1941:
1936:
1931:
1920:
1919:
1918:
1917:
1912:
1899:
1898:
1893:
1888:
1883:
1878:
1877:
1876:
1871:
1860:
1859:
1854:
1853:
1852:
1841:
1839:
1830:
1826:
1825:
1822:
1821:
1819:
1818:
1813:
1808:
1803:
1802:
1801:
1796:
1791:
1786:
1775:
1773:
1767:
1766:
1764:
1763:
1758:
1757:
1756:
1751:
1738:
1737:
1732:
1727:
1718:
1717:
1716:
1711:
1706:
1695:
1693:
1681:
1680:
1678:
1677:
1672:
1667:
1662:
1657:
1652:
1646:
1644:
1638:
1637:
1635:
1634:
1633:
1632:
1627:
1617:
1612:
1607:
1606:
1605:
1600:
1590:
1589:
1588:
1583:
1573:
1568:
1567:
1566:
1561:
1556:
1551:
1539:
1538:
1537:
1527:
1526:
1525:
1515:
1514:
1513:
1508:
1503:
1492:
1490:
1481:
1475:
1474:
1472:
1471:
1470:
1469:
1459:
1458:
1457:
1452:
1442:
1440:Blood in stool
1436:
1434:
1428:
1427:
1424:
1423:
1421:
1420:
1415:
1413:Anal dysplasia
1410:
1405:
1400:
1390:
1388:
1382:
1381:
1379:
1378:
1373:
1368:
1363:
1358:
1357:
1356:
1345:
1343:
1337:
1336:
1334:
1333:
1328:
1327:
1326:
1316:
1315:
1314:
1304:
1299:
1294:
1289:
1280:
1278:Angiodysplasia
1275:
1270:
1259:
1258:
1257:
1247:
1242:
1241:
1240:
1229:
1227:
1223:
1222:
1220:
1219:
1213:Diverticulosis
1209:Diverticulitis
1206:
1197:
1196:
1195:
1186:
1176:
1171:
1170:
1169:
1164:
1159:
1154:
1149:
1144:
1134:
1128:
1126:
1110:
1109:
1107:
1106:
1101:
1099:Milroy disease
1096:
1091:
1086:
1081:
1076:
1071:
1069:Tropical sprue
1066:
1057:
1056:
1055:
1045:
1044:
1043:
1038:
1033:
1022:
1020:
997:
991:Lower GI tract
987:
986:
983:
982:
980:
979:
978:
977:
967:
962:
957:
952:
947:
942:
937:
932:
927:
922:
921:
920:
910:
909:
908:
903:
893:
892:
891:
886:
881:
870:
868:
862:
861:
859:
858:
853:
848:
843:
838:
833:
827:
826:
825:
819:
814:
809:
804:
794:
789:
784:
783:
782:
777:
767:
766:
765:
760:
755:
744:
742:
733:
731:Upper GI tract
727:
726:
718:
717:
710:
703:
695:
686:
685:
682:
681:
669:
664:
663:
661:
660:Classification
653:
652:External links
650:
647:
646:
616:
573:
552:(2): 113–116.
532:
511:(6): 562–567.
491:
482:
455:(5): 446–451.
435:
392:
343:
300:
257:
208:
189:(5): 326–375.
172:
171:
169:
166:
149:
146:
113:
110:
68:
65:
39:
38:
33:
27:
26:
18:
15:
9:
6:
4:
3:
2:
2013:
2002:
1999:
1998:
1996:
1977:
1974:
1972:
1969:
1965:
1962:
1961:
1960:
1957:
1956:
1954:
1952:
1948:
1940:
1937:
1935:
1932:
1930:
1927:
1926:
1925:
1922:
1921:
1916:
1913:
1911:
1908:
1907:
1906:
1905:
1901:
1900:
1897:
1894:
1892:
1889:
1887:
1884:
1882:
1879:
1875:
1872:
1870:
1867:
1866:
1865:
1862:
1861:
1858:
1855:
1851:
1848:
1847:
1846:
1845:Diaphragmatic
1843:
1842:
1840:
1838:
1834:
1831:
1827:
1817:
1814:
1812:
1809:
1807:
1804:
1800:
1797:
1795:
1792:
1790:
1787:
1785:
1782:
1781:
1780:
1777:
1776:
1774:
1772:
1768:
1762:
1759:
1755:
1752:
1750:
1747:
1746:
1745:
1744:
1740:
1739:
1736:
1733:
1731:
1728:
1726:
1722:
1719:
1715:
1712:
1710:
1707:
1705:
1702:
1701:
1700:
1697:
1696:
1694:
1692:
1686:
1682:
1676:
1673:
1671:
1668:
1666:
1663:
1661:
1658:
1656:
1653:
1651:
1650:Cholecystitis
1648:
1647:
1645:
1643:
1639:
1631:
1628:
1626:
1623:
1622:
1621:
1618:
1616:
1613:
1611:
1608:
1604:
1601:
1599:
1596:
1595:
1594:
1593:Liver abscess
1591:
1587:
1584:
1582:
1579:
1578:
1577:
1576:Liver failure
1574:
1572:
1569:
1565:
1562:
1560:
1557:
1555:
1552:
1550:
1547:
1546:
1545:
1544:
1540:
1536:
1533:
1532:
1531:
1528:
1524:
1521:
1520:
1519:
1516:
1512:
1509:
1507:
1504:
1502:
1499:
1498:
1497:
1494:
1493:
1491:
1489:
1485:
1482:
1480:
1476:
1468:
1465:
1464:
1463:
1460:
1456:
1453:
1451:
1448:
1447:
1446:
1443:
1441:
1438:
1437:
1435:
1433:
1429:
1419:
1416:
1414:
1411:
1409:
1406:
1404:
1401:
1399:
1395:
1392:
1391:
1389:
1387:
1383:
1377:
1374:
1372:
1369:
1367:
1364:
1362:
1359:
1355:
1352:
1351:
1350:
1347:
1346:
1344:
1342:
1338:
1332:
1329:
1325:
1322:
1321:
1320:
1317:
1313:
1310:
1309:
1308:
1305:
1303:
1300:
1298:
1295:
1293:
1290:
1288:
1284:
1281:
1279:
1276:
1274:
1271:
1269:
1265:
1264:
1260:
1256:
1253:
1252:
1251:
1248:
1246:
1243:
1239:
1236:
1235:
1234:
1233:Enterocolitis
1231:
1230:
1228:
1224:
1218:
1214:
1210:
1207:
1205:
1201:
1198:
1194:
1190:
1187:
1185:
1182:
1181:
1180:
1177:
1175:
1172:
1168:
1165:
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1060:Malabsorption
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935:Gastroparesis
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901:Cushing ulcer
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846:Megaesophagus
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47:is a type of
46:
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28:
23:
1928:
1923:
1902:
1779:Pancreatitis
1741:
1691:biliary tree
1564:Nutmeg liver
1541:
1467:Hematochezia
1418:Pruritus ani
1403:Anal abscess
1398:Anal fistula
1394:Anal fissure
1307:Constipation
1261:
1132:Appendicitis
940:Gastroptosis
930:Achlorhydria
769:
758:Eosinophilic
672:
625:
619:
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130:constipation
115:
70:
60:
44:
42:
1959:Peritonitis
1721:Cholestasis
1699:Cholangitis
1642:Gallbladder
1530:Fatty liver
1450:Hematemesis
1432:GI bleeding
1238:Necrotizing
1167:Lymphocytic
1162:Collagenous
1157:Microscopic
1094:Steatorrhea
995:Enteropathy
841:Inlet patch
763:Herpetiform
748:Esophagitis
402:Surg Endosc
267:Surg Endosc
1951:Peritoneal
1929:Incisional
1850:Congenital
1794:Hereditary
1771:Pancreatic
1735:Haemobilia
1408:Hemorrhoid
1386:Anal canal
1324:Infectious
1312:Functional
1147:Ulcerative
1031:Duodenitis
970:Gastrinoma
679:D000069290
316:(1): 1–5.
168:References
78:intestinal
1939:Richter's
1896:Spigelian
1891:Obturator
1881:Umbilical
1714:Ascending
1685:Bile duct
1518:Cirrhosis
1496:Hepatitis
1479:Accessory
1349:Proctitis
1200:Megacolon
1174:Dysentery
1084:Whipple's
1036:Jejunitis
1026:Enteritis
913:Dyspepsia
874:Gastritis
807:Achalasia
740:Esophagus
611:189870909
505:Arch Surg
387:205514994
357:Br J Surg
148:Treatment
138:pregnancy
31:Specialty
1995:Category
1869:Indirect
1864:Inguinal
1598:Pyogenic
1543:Vascular
1319:Diarrhea
1297:Volvulus
1263:Vascular
1202: /
1191: /
1152:Ischemic
1119:Appendix
1009:Duodenum
879:Atrophic
753:Candidal
642:24346957
603:15983711
568:18435881
527:17576893
477:22198415
469:10085391
430:25506589
422:21184109
379:25627126
338:20775829
330:14745557
295:22252827
287:19462203
222:Br Med J
203:16679124
118:hematoma
2001:Hernias
1910:Petit's
1886:Femoral
1789:Chronic
1603:Amoebic
1371:Anismus
1137:Colitis
1064:Coeliac
1041:Ileitis
1013:Jejunum
866:Stomach
770:Rupture
559:3016187
252:6279229
243:1496540
142:ascites
94:sternum
74:healing
53:abdomen
1904:Lumbar
1874:Direct
1857:Hiatus
1837:Hernia
1689:Other
1455:Melena
1341:Rectum
824:(GERD)
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336:
328:
293:
285:
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240:
201:
122:seroma
102:suture
49:hernia
1829:Other
1784:Acute
1535:MASLD
1488:Liver
1462:Lower
1445:Upper
1287:Ileus
1123:Colon
1017:Ileum
832:(LPR)
607:S2CID
473:S2CID
426:S2CID
383:S2CID
334:S2CID
291:S2CID
140:, or
112:Cause
98:pubis
1217:SCAD
674:MeSH
638:PMID
599:PMID
564:PMID
523:PMID
465:PMID
418:PMID
375:PMID
326:PMID
283:PMID
248:PMID
199:PMID
126:COPD
106:mesh
1523:PBC
1250:IBD
1184:IBS
630:doi
591:doi
554:PMC
513:doi
509:142
457:doi
410:doi
365:doi
361:102
318:doi
314:389
275:doi
238:PMC
230:doi
226:284
191:doi
136:),
134:BPH
128:),
88:or
80:or
43:An
1997::
1687:/
1285::
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197:.
187:43
185:.
120:,
108:.
1723:/
1396:/
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1117:(
1019:)
1015:/
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1007:(
714:e
707:t
700:v
666:D
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367::
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277::
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232::
205:.
193::
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