Abstract The repair of giant abdominal hernias in high-risk obese patients remains a great challenge. There is no single simple surgical
procedure to provide correction for this condition, and the risk for recurrence of hernia is high. Moreover, the insertion
of a foreign material, i.e., synthetic mesh, adds an increased risk of infection, particularly in the presence of concomitant
immunosuppressant therapy or diabetes. Eight patients, classified ASA 3–4, with giant abdominal wall hernias had 3 months
pre-treatment with a custom-made compressive garment before abdominal wall repair. Four patients had a stoma at the time of
surgery.
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