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[Comment] PRIMA, non nocere

Ventral incisional hernias are common, result in impairments in quality of life, and account for a heavy financial burden.1,2 Estimates suggest that for every 1% reduction in ventral hernia repairs in the USA there would be a US$32 million cost-saving.2 Thus, effective prevention of ventral incisional hernias would have a substantial effect on patient-centred outcomes and resource utilisation.