shouldice hernia repair california

Would you like email updates of new search results? Unable to load your collection due to an error, Unable to load your delegates due to an error. Essential preliminaries are accurate dissection at the internal ring with adequate treatment of any indirect hernia. Dr. Harris is the highest rated hernia surgeon on HealthGrades and Yelp, and his patient outcomes are consistently better than most surgeons across the country. Your family and friends are welcome to visit you during our normal visiting hours. HHS Vulnerability Disclosure, Help Shouldice hernia repair is the repair of inguinal hernias without the use of mesh. This technique has improved outcomes from older non-mesh repairs. What is a Hernia? A hernia is a hole in the muscular abdominal wall. It can be located in many locations. This provides us with a depth of surgical experience not found with many other surgeons. What kinds of hernias can the Shouldice repair treat? The PerFix plug repair for groin hernias. "Robotic surgery definitely worked for me. WebHernia Surgery At UC Davis our hernia specialists are experienced in repairing simple and complex hernias with a goal of helping patients to return to pain- free health as quickly as possible. Mainprize M, Spencer Netto FAC, Degani C, Szasz P. Hernia. The Shouldice pure tissue repair for groin hernias, a tested and proven procedure, continues to provide great patient satisfaction. At 4:30, a group orientation is provided for all new patients, which we encourage you to attend. Complex Hernia Surgery, Repair, and Treatment. WebDr. The procedure is designed so that these secondary defects are easily incorporated into the repair. and transmitted securely. He practices w/ a partner as Premier Surgical Associates in Palm Springs, CA. A: The Shouldice repair is used to treat a variety of external abdominal wall hernias, including indirect and direct inguinal hernias, recurrent hernias, femoral hernias, epigastric hernias (also called ventral hernias), incisional hernias, Spigelian hernias (also called lateral ventral hernias), and umbilical hernias. Unsure if you have a hernia? Research has shown that up to 13% of people with hernias have a second weak spot in their muscles, or a hidden hernia. Bethesda, MD 20894, Web Policies Another intriguing point brought to light in this article is that, when given the choice of type of repair surgeons themselves would prefer for a hypothetical hernia, the predominant choice was the Shouldice repair. In a no mesh repair, regardless of the technique, the hernia is closed and secured by carefully stitching the tissues of the abdominal wall closed. sharing sensitive information, make sure youre on a federal We offer comprehensive, patient centered care. We encourage you to take part in the many activitiesoffered at Shouldice. In the first 8 to 12 hours following surgery, mild to severe discomfort will be experienced by 9095% of patients having a Shouldice inguinal hernia repair. To achieve the best surgical outcome, not all hernias can be repaired using the bodys natural tissue. The limited walk-in spaces are available on a first-come, first-served basis. The answer to that question is, Yes, almost ALL hernias can be repaired WITHOUT mesh. The Shouldice repair is intended to restore your muscle function so that you can perform your duties. Unauthorized use of these marks is strictly prohibited. The repair is a modified Bassini. A major disadvantage is that many U.S. insurance providers will not cover surgery out of country. The limited walk-in spaces are available on a first-come, first-served basis. Early results of inguinal hernia repair by the 'mesh plug' technique--first 200 cases. Mohamed Ali, M.D.Chief of Foregut, Metabolic, and General Surgery, To schedule an appointment, please call(916)734-2680. WebShouldice Hernia Hospital Testimonials | Hernia Repair Clinic Our Patients at Shouldice Hospital Say it Best. Tiffany Pena, Merced County, CA. Mesh repair versus non-mesh repair for strangulated inguinal hernia: systematic review with meta-analysis. and transmitted securely. On your last morning at Shouldice, you will say goodbye to your new-found friends and meet with Shouldice staff to complete the discharge process. Will I need to lose weight prior to having a Shouldice hernia repair? These are treated in other ways. A: The pain after surgery is managed with over-the-counter Tylenol and ibuprofen. Oct 13, 2007 #12. | About Us Hernias occurs when an organ or tissue squeezes through a weak spot in muscle or connective tissue. Then a second running Unauthorized use of these marks is strictly prohibited. We are not anti-mesh; rather, we are against the indiscriminate and injudicious use of mesh. Smoking restricts oxygen flow in the body and impairs the bodys ability to heal itself. Have you ever wondered what that bulge is in your groin, belly button, upper belly, or at the old scar in your belly? The belly button (umbilical hernia) and the groin area (inguinal or femoral hernia) are the most common locations. In severe cases where the opening of the hernia is quite large, a skin graft, taken from another location in the body, may be necessary in order to properly close the wound. We provide our patients with a comprehensive center. Need help deciding? 43. WebSurgery, Oncology, Surgical Oncology. Your employer will likely be very concerned in your ability to do your job successfully in your current condition, and will encourage you to have this taken care of or at least examined by a surgeon. 2008 Sep;207(3):360-7. doi: 10.1016/j.jamcollsurg.2008.04.018. Jose L. Bandala. Patient recovery begins the moment the operation is over. WebMD does not provide medical advice, diagnosis or treatment. Laparoscopic Sleeve Gastrectomy (LSG or VSG), Laparoscopic Adjustable Gastric Band (LAGB), single anastomosis sleeve ileal bypass (SASI), Single Anastomosis Duodenal Ileal Bypass (SADI), Weight regain & Care after Weight Loss Surgery (Post-Bariatric Care), Gastric Bypass Revision and Gastric Sleeve Revision, Laparoscopic Inguinal (Groin) Hernia Repair, Sinus Laser Ablation of Pilonidal Cyst SiLaC, Non-surgical options & diet for acid reflux, Nissen Fundoplication & Hiatal Hernia Repair, Sinus Laser Ablation of Pilonidal Cyst SiLaC. Shouldice repairs provide better results than earlier non-mesh repairs and decreased hernia recurrences. Hernia. During a Shouldice repair, once the surgeon has exposed the inguinal anatomy, they can then move on to the hernia repair. To decrease the text size, press and hold down the command key on a Mac or the windows key on PC, then press the minus (-) key. The infection rate is about 0.3%. A comparison of hernia sac ligation versus invagination in Lichtenstein tension-free mesh hernioplasty: does the type of hernia play a role in outcomes? The complete dissection lends itself to the discovery of secondary hernias. This site needs JavaScript to work properly. The Shouldice repair has demonstrated continued success for over 70 years as practiced at Shouldice Hospital in Canada, if the patient has acceptable weight for their height. 19. The repair also provides quality measured by low recurrence, low chronic pain, and low infection rates. Recovery will vary for each patient, depending on the type of surgery performed and the overall health of the patient. The obvious question is why do we use mesh at all? 2000 Nov;82(6):396-400. 35. Shouldice Repair. How much does a tummy tuck cost in Ontario? For those patients on weight reduction programs please ensure you have attained your weight loss targets as your surgery may be postponed as a result. symptoms occur to determine the best course of action. It is important to follow all postoperative instructions given by the surgeon as well as attend all follow-up appointments. To decrease the text size, press and hold down the command key on a Mac or the windows key on PC, then press the minus (-) key. 1976 Mar;58(2):133-9. Local anesthesia is given in more than 95% of cases. Some patients may experience a low level of pain after an open repair procedure, while others may experience a high level of pain and discomfort after a laparoscopic procedure. A Shouldice repair is perfect for labor-intensive jobs and athletes. The Shouldice repair is a comparatively challenging technique. As soon as you are able, we advise getting back to normal activity levels again. You will also be expected to participate in a gentle exercise program designed specifically to promote natural healing in hernia patients. Nylon-6/chitosan core/shell antimicrobial nanofibers for the prevention of mesh-associated surgical site infection. 2012 Apr 18;2012(4):CD001543. The many ways in which herniated tissue might protrude through the hernia can confuse the initial appearance of the tissue during inguinal hernia surgery. As soon as youre able, you can start playing sports and exercising again. Short-stay surgery (Shouldice technique) for repair of inguinal hernia. Am Surg. Before any hernia repair procedure, our Advanced Hernia Center will analyze the type and complexity of the hernia using diagnostic imaging techniques such as an US and/or CT scan. General Dentistry, Endodontics, Prosthodontics. Shouldice hernia repair is a method that Dr. Shouldice created as an evolution from earlier procedures known as Bassini Repairs. Before repairing any weakness, we gently place fatty tissue, and any part of the intestine (bowel) that may have bulged through the abdominal wall, back inside the abdomen. A: Generally, the surgery takes about 45 minutes. The procedure is designed so that these secondary defects are easily incorporated into the repair. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (18901965), the Canadian surgeon who invented the technique in the 1940s. Fax: 916-734-3951 Your health is your most precious resource and every year over 6,500 patients trust Shouldice Hospital to repair their abdominal wall hernia. Here, Samer Sbayi, MD, of the Stony Brook Center for Abdominal Core Health and Complex Hernia Repair, answers frequently asked questions about hernias and the famous Shouldice repair. Pre-procedure instructions typically include refraining from eating or drinking at least eight hours before the operation. The site is secure. 2022 Aug;26(4):1189-1190. doi: 10.1007/s10029-021-02541-2. 8600 Rockville Pike In fact non mesh repair was the norm prior to the introduction and popularization of mesh in the 1960s. The couple of days you spend recovering at Shouldice is a small personal investment, well worth the long-term confidence you gain from knowing that your hernia repair will last for a lifetime, without complications or infection. WebOur surgeons perform open, and minimally invasive robotic assistive laparoscopic procedures for hernia repair. Patients who smoke will be asked to stop smoking at least two weeks before surgery. Your symptoms may not be caused by a hernia or you may have a health condition that should be managed before surgery. The use of Mersilene mesh in adult inguinal and femoral hernia repairs: a comparison with classic techniques. Best contact person in the ofc is named Leah, so ask for her. Dr. Jordana Gaumond explains. This surgical pain improves each day and significantly lessens the further out you are from surgery. All medical assessments are free of charge. There are other types of hernia for which the Shouldice repair is not used, such as hiatal hernias and parastomal hernias. Discover the benefits of referring your complex hernia cases. 2335 Stockton Blvd. HHS Vulnerability Disclosure, Help Medical Studies have shown that over 75% of hernias will get progressively larger and more painful with time. Q: How long is the hospital stay following a Shouldice repair? Because of my experience, I serve as a trainer for surgeons across the country who are interested in furthering their education in hernia repairs and I speak about hernias at national medical conferences." The surgeon may provide specific instructions regarding medications for the days preceding the operation. The inguinal ligament is a pair of bands that runs deep within the groin and joins the pelvis to the external oblique muscles of the abdomen. It can be carried out under regional or local anesthesia. Two hundred and eighty male patients with primary hernias were prospectively, randomly selected to undergo Shouldice, tension-free Lichtenstein or laparoscopic transabdominal pre-peritoneal (TAPP) hernioplasty repairs. Why do we avoid the use of mesh whenever possible? Did you know you can have a hernia repaired by a procedure with a low complication rate, with slim to no chance of the hernia ever coming back, very low chronic pain rate, and no need for mesh? 3- Permanent suture is used to join four separate anatomical layers. 34 Years Experience. An official website of the United States government. Careers. Q: Is there pain after having the procedure? Although it has not been proven, many hernia specialists concur that young, active persons who are slender and athletic are more likely to have pain or discomfort after mesh surgery. Longterm results of a prospective study of 225 femoral hernia repairs: indications for tissue and mesh repair. doi: 10.1002/14651858.CD001543.pub4. What are the restrictions after a Shouldice repair? Disclaimer. Within 5 days of surgery, 99% of patients can handle their symptoms with just ibuprofen and/or acetaminophen. This is the perfect time to rest, relax and recover under the professional care and guidance of Shouldice staff. A: There are no weight or lifting limitations after surgery. A: Our hernia specialists at Stony Brook have extraordinary experience in performing the Shouldice repair. Key words: Inguinal hernia - Shouldice repair recurrence The Shouldice hospital has specialized in the care of abdominal wall hernias for more than 60 years. Discover why you should call the Iskandar Center for your hernia. This is why we highly recommend scheduling an appointment with us when any In order to recognize the distinct anatomical layers that are sewn back together, the surgeons experience is essential. WebShouldice hernia repair is the repair of inguinal hernias without the use of mesh. You can also keep an eye out for the awards icon on search pages or the Awards card on physician profiles that indicate Preferred Provider award winners and physicians on staff at WebMD Patient Choice award-winning hospitals. We don't know the reasons for the weakness in the muscle that generates this condition, but we are very good at diagnosing it. At Stony Brook, we also have a multidisciplinary team that includes weight loss specialists who provide a range of proven treatments, both non-surgical and surgical. Dr. Remember, you had surgery and need some recovery time. A: Yes. The Iskandar Complex Hernia Center All Rights Reserved Despite our remarkable success rates with laparoscopy and robotic inguinal hernia repair, it is nevertheless evident that in some patients, avoiding mesh reduces the likelihood of chronic pain or discomfort at the relatively minor cost of a slightly increased risk of recurrence. The hernia can be painful or even life-threatening if the intestine becomes trapped in the opening and is compressed. | Contact Us, Hand, Upper Extremity & Microvascular Surgery, Trauma, Acute Care Surgery & Surgical Critical Care, F. William Blaisdell Surgical Education Programs Overview, Center for Alimentary and Metabolic Science (CAMS), Bariatric/Metabolic (weight loss) Surgery, Fellowship in Minimally Invasive/bariatric Surgery, Chief of Foregut, Metabolic, and General Surgery. At Shouldice, we firmly believe that it is in the best interests of our patients to cure hernias permanently by finding and repairing all secondary hernias the first time. Are mesh repairs better than non-mesh repairs? Doing so will reduce the risk of complications and help patients recover more quickly. Yes, it is very difficult to break the repair. Mesh is employed infrequently, only in those cases where there is a lack of tissue or scarring has minimized flexibility. Q: Does body weight affect a hernia repair? WebFor over 75 years the Surgeons and staff of Shouldice Hospital have dedicated themselves to repairing abdominal wall hernias; its all we do, having performed over 400,000 successful It is done with intravenous sedation, not gas anesthesia. The Global Leader in Non-Mesh Hernia Repair. For over 75 years, we have been the only licensed hospital in the world dedicated to repairing hernias. More than 98% of our cases are performed with our natural tissue techniquewithout the use of mesh. Our Patients at Shouldice Hospital Say it Best. Why Shouldice? Choosing the right treatment for your condition increases the likelihood you will have a positive outcome and decreases the risk of complications and hernia recurrence. Accurate recognition and definition of the transversalis plane is routine and fundamental. Ryan James Bowman, MD. When appropriate for some hernias, these options can include small incisions may be used that cause less pain and help you recover faster. Surgery, Oncology, Thoracic Surgery, Surgical Oncology, Surgery, Neurological Surgery, Other Specialty, Emergency Medicine, Surgery, Trauma Surgery, Surgery, Oncology, Other Specialty, Surgical Oncology. In fact, at Shouldice Hospital where I was trained in the procedure, the recurrence rate is only about 1% and the chronic pain rate is 3 in 1,000 patients at 3 years and 6 per 1,000 patients at 10 years follow-up. At UC Davis our hernia specialists are experienced in repairing simple and complex hernias with a goal of helping patients to return to pain- free health as quickly as possible. Dont let a hernia affect your quality of life any longer. A: Repairs, however, are many, and mostly use mesh (or a screen or patch). Epub 2019 Jul 5. Our skilled surgeons have the expertise to find these hidden threats; in fact, its one of the most important benefits of the Shouldice repair, by avoiding the need for a potential second surgery. If you are an international or distant patient, you can have your repair checked by a doctor in your hometown. Your questionnaire will be reviewed by our medical team. 2825 Capitol Ave, Sacramento, CA 95816 0.39 miles. WebThe Shouldice repair is used for all types of inguinal hernia whether indirect, direct, sliding, multiple, recurrent, male or female. Does not enter the abdomen to prevent possible damage to the intestine or major blood vessels. The Lichtenstein repair for groin hernias. Q: How long does the Shouldice repair take to perform? Maybe you have heard that someone had a hernia repaired but it came back, or they had ongoing pain after the repair. Shouldice Repair. Epub 2022 Jun 20. Why introduce a foreign body that ignores physiology, and does not match human tissue and anatomy, where natural-tissue techniques can successfully and safely repair the hernia and restore the bodys natural anatomy? Our passion, pride in our work, and focus on hernia care is reflected by our patients feedback and our outcome data. 7750 Bayview Avenue,Thornhill, Ontario,Canada L3T 4A3View Map, Tel: 905-889-1125 Fax: 905-889-4216 Canada: 1-800-291-7750 U.S./International: 1-855-328-3423 postoffice@shouldice.com, Shouldice Hospital is committed to excellence in serving all patients including people with disabilities.Learn More. A: It is performed with no mesh. FOIA California Hernia Specialists - Speciality Care for Hernia Q: What are the restrictions after surgery? Recurrence rates of less than 1% for repair of primary inguinal hernia and re-recurrence rates of 2-4% for repair of recurrent inguinal hernia are reported. A no mesh hernia repair can be performed using the following surgical techniques: The objective of hernia repair surgery is to treat open wounds in the abdominal wall, repair the gap, and return the protruding tissues and organs to their natural position. 2- The posterior wall of the inguinal canal (Transversalis fascia) is opened. | Jobs Clipboard, Search History, and several other advanced features are temporarily unavailable. Waxahachie, TX 75165. Dr. Malik graduated from the King Edward Medical 57 Years Experience. You cant find a more concierge approach to hernia care in the country. Bowman graduated from the All rights reserved. A systematic review and network metanalysis of randomized controlled trials comparing Shouldice and Desarda Within hours patients will be up and about, and by the next morning, doing gentle exercises along with all the other patients. As a globally respected complex hernia expert, he specializes in complex hernia repair and abdominal reconstruction. Overweight poses a potential risk for recurrence, bleeding, infection, and chronic pain. [The Shouldice repair for inguinal hernia--technique and results]. Medical literature has shown that experience matters greatly when it comes to treating hernias. During the recovery, patients receive a holistic program of patient care that encourages a safe, healthy and rapid return to normal activities. How long does it take to complete the Shouldice repair? Non mesh repair of hernia has several advantages, the most important of which is the absence of foreign material in the body and zero risk of short- and long-term mesh complications. Sacramento, CA has 688 Hernia Repair doctors results with an average of 21 years of experience. If think you have a hernia and you are not a Canadian resident, please complete our Medical Questionnaire. The location you tried did not return a result. 2014UC Regents. To increase the text size, press and hold down the command key on a Mac or the windows key on PC, then press the plus (+) key. When surgery is completed, most patients can walk out of the OR with the assistance of the surgical team and return to their room, however, for patients requiring a general anesthetic, a short stay in the OR lounge is required first. As a leader in pioneering approaches like minimally invasive surgical DaVinci robotic surgery system, our surgeons are on the forefront of reducing sources of bleeding, improving recovery time and reducing time under anesthesia. Careers. Since the first publication 1953 the Repair has been described in detail in many textbooks, articles and You Tube videos. What are the benefits of receiving Shouldice repair treatment at the Iskandar Complex Hernia Center? Patients rest in their rooms for four hours and are then encouraged to get up and begin recovery. ALL RIGHTS RESERVED 2023 IBI Healthcare Institute. 17 Years Experience. Your symptoms may not be caused by a hernia or you may have a health condition that should be managed before surgery. You are the best judge of when and how much you should do as you listen to your body. An evaluation of the inguinal anatomy is the first step in the Shouldice repair of inguinal hernias. While there are various techniques utilized to treat inguinal hernias, some methods work best for particular types of patients. | Sacramento, CA 95817 The recurrence rate is less than 1%, according to the Shouldice Hernia Centre in Ontario, Canada. Recovery back to what normal used to be for each individual patient can vary from four to eight weeks, but you are certainly active in the interim until you feel you are where you need to be. The .gov means its official. This question stems from the concern of having mesh complications. No mesh repair is sometimes associated with a tugging or pulling sensation, and, if severe, this tension can even cause the muscles of the abdominal wall to reopen. Our admission staff will greet you and begin the admission process, which includes an examination and a review of your weight and current health. Ann R Coll Surg Engl. Please call 905-695-4911 to book an appointment, Monday to Friday between 9:30AM and 3:30PM. Subscribe to our youtube channel and watch No Mesh Hernia Video. However, we suggest that you ease back into your schedule gradually. An accurate diagnosis by an experienced hernia surgeon is the best way to find out if you need a hernia operation. Family Medicine, Surgery, Neurological Surgery, General Dentistry, Oral & Maxillofacial Surgery, Surgery, Other Specialty, Surgery, Other Specialty, Vascular Surgery, Emergency Medicine, Family Medicine, Surgery, Surgery, Internal Medicine, Thoracic Surgery, Cardiovascular Disease, Surgery, Thoracic Surgery. Phone # is (760) 424-8224. Obstetrician-Gynecologists, Sacramento, CA. Dr. Iskandar, MD, FACS is a board-certified general surgeon with fellowship training in minimally invasive and bariatric surgery. The https:// ensures that you are connecting to the During your stay, you will join the other patients in the dining room to enjoy the nutritious meals and snacks prepared fresh in our kitchen every day. 2510 Airpark Dr Ste 301, Redding, CA 96001, 1335 Buenaventura Blvd Ste 204, Redding, CA 96001. J Am Coll Surg. In addition, look for the Patient's Perspective boxes and callouts that tell you what other patients liked about the doctor. Please enter a valid 5-digit Zip Code. And you may be at risk of it progressing and strangulating, which can be very dangerous. PMC A: We plan to discharge patients the same day of their surgery, avoiding a hospital stay. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. Once youve decided to seek treatment, review our patient outcomes data to help you choose the best surgeon for your care and then schedule your appointment with us online. Each patients return time to their previous level of normal can vary from four to eight weeks, but you are undoubtedly active in the interim until you feel you are back where you need to be. California Hernia Specialists routinely sees unique and complex cases. A well-trained surgeon will also find and repair any secondary hernias to prevent the need for future surgeries. The goal of hernia repair surgery is to close and support the weakened area in the abdominal wall. It is a surgical procedure that involves utilizing a permanent surgical Myself and our website will help guide you through learning the symptoms of hernias, the different types of hernias, and the options for treatment. WebFor over 75 years the Surgeons and staff of Shouldice Hospital have dedicated themselves to repairing abdominal wall hernias; its all we do, having performed over 400,000 successful hernia repairs using our natural tissue technique without the use of surgical mesh and its All Rights Reserved. Your body is still recovering during this time, even though you have resumed your normal activities. 19. Shouldice technique versus other open techniques for inguinal hernia repair. Did a relative or friend tell you it might be a hernia? The Shouldice Method: an expert's consensus. A "I don't have multiple offices with a variety of staff and services. Yes, you judge when and how much you can do. Most importantly, while working at Shouldice, every surgeon on the Shouldice team focuses their professional time and training on becoming an expert on the successful lifelong repair of external abdominal wall hernias. Our passion, pride in our work, and focus on hernia care is reflected by our patient's feedback and our outcome data. Call us today at 678.466.6760 or visit our website. Contact our friendly team today for more information and to schedule your appointment with Dr. Iskandar. privacy policy. As part of the Shouldice procedure, we do a thorough search for other hernias, or weaknesses, in the area and repair them as well. The .gov means its official. I actively publish our hernia outcomes data to allow future patients to make the most educated decision on who to trust with their hernia care. A: A hernia is a weakness in your abdominal muscles that allows for a bulge that you may or may not see. (Video) Hernia Surgeon Conducting the Shouldice Surgical Repair; Meet Hernia Surgeon: Dr. Jonathan Yunis, MD Finding top-rated doctors who perform Hernia Repair near you is simple on WebMD Care. Q: Why do patients seek out the Shouldice repair? 1620 Lead Hill Blvd Ste 300, Roseville, CA 95661 3.28 miles. A large personal series of more than 20,000 inguinal repairs performed almost exclusively in this hospital during a 30 year period from 1954 to 1984 is tabulated. Within these populations mesh was used in 85.7% of patients in non-Shouldice hospitals and in only 1.46% at the Shouldice Hospital. It can be located in a variety of places. We are high-volume referral center. World J Surg. They stabilize the pelvis and abdomen and support the groins soft tissues. government site. Another important advantage is significantly lower out of pocket cost since a mesh is the most expensive component of an hernia repair. Essential preliminaries are accurate dissection at the internal ring with adequate treatment of any indirect hernia. The Shouldice technique is a four-layer inguinal hernia repair performed with the patient under local anesthesia. This rating is based on actual ratings from real patients like you. Explore feedback from real patients, what awards they've won, and much more to help you choose. An accurate in-person diagnosis by an experienced hernia surgeon is the best way to find out if you need a hernia operation. On the day of your operation, you will be escorted to the Operating Room (OR) lounge approximately 30 minutes prior to your scheduled surgery.

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