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Large Incisional Hernia & Ehlers Danlos Syndrome
Botox injection is performed by some Pain Management specialists and some surgeons. The neurotoxin is injected into the muscle, relaxing it, then allowing surgery on a more relaxed and lengthened muscle, so that the repair is not under tension.
Sandwich repair is using mesh on top of and under the repair. I use it in situations where the repair may be tenuous.