الفهرس 
Introduction & Aim of the workOnly 14 pages are availabe for public view
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Abstract
Complex ventral hernias provide difficult surgical situations. a condition that is well recognized to have major problems. Since surgery is still the only available therapy option. It should be repaired effectively, with minimal morbidity and recurrence rates.
Complex ventral hernias may arise for a number of reasons. There are two ways that abdominal wounds might fail to heal: either acutely right away after surgery, causing a dehiscence and ruptured abdomen, or chronically later on, causing an incisional hernia. Massive abdominal wall reconstruction has long been a challenging clinical issue.Therefore, preoperative care such as Botox or PPP injections, or both, enable to do reconstruction later on with less difficulties. In our research, we discovered that the use of Botox or PPP, or even both, improves abdominal wall compliance, lengthens the muscles that line the abdominal wall, increases the volume of the abdominal cavity, restores the herniated viscera without the formation of ACS, and lowers the mortality and recurrence rates.Therefore, difficult ventral hernia repair became less morbid and simpler.