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There is a high rate of IH, specially in high-risk groups such as obese patients, immunosuppressed patients, and colorectal surgery patients.

There is an increasing evidence of augmented mesh placement benefits in reducing IH rates.

Abdominal wall closure should be standardized and education in surgical technique is mandatory.

An algorithm for prophylactic mesh placement based on a preoperative predictive model of IH risk should be considered.

Abdominal wall units and specific education are necessary to improve both prevention and treatment of IH.

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Dr. Silvia Valverde Gastrointestinal Surgery Department, Hospital Clinic Barcelona, Spain Colorectal Surgery
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