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hi my name is dr. Luis Garcia and I am a general surgeon here at the University of Iowa Hospitals and Clinics I take care of trauma patients general surgery patients and I am board certified as well in critical care medicine so I spend some of my time in the intensive care unit from a general surgery standpoint I have a interest in caring for patients with complex abdominal hernias and today Iamp;#39;ll briefly go over how we fix a hernia and briefly go over some of the more advanced techniques that we offer here at the University of Iowa Hospitals and Clinics called component separation if we look at the diagram on the board here we see whatamp;#39;s a typical scenario for a patient with a hernia in which the abdominal muscles are separated and thereamp;#39;s a bulge that the patient usually presents with now one of the key components of fixing an abdominal hernia is to be able to get these muscles and sew them back together in the middle and what that helped us do is restore the f