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hello my name is Jared Keith Iamp;#39;m a plastic surgeon and clinical assistant professor of surgery at the University of Iowa Hospitals and Clinics today weamp;#39;re going to be talking about hernia repairs and soft tissue reconstruction there are three points of our talk today the first is that hernia repairs and soft tissue problems often coexist second both of these surgeries can be performed at the same time here at the University and finally weamp;#39;re going to talk about our overall goal of achieving the smooth abdominal contour as well as healthy overlying soft tissue coverage excess skin and amla hernias often go hand-in-hand while most of the work involved with hernia repair goes on with the deeper muscular layers of the abdominal wall itamp;#39;s also important that we have a healthy over line soft tissue coverage for the hernia repair both are important and proper healing and accessible outcomes depend on these both working together in general there are two types of