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BAC water with NaCl can improve comfort by making the liquid closer to tissue salt concentration, but it does not meaningfully buffer NAD+ acidity

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Ventral & Umbilical Repair: The Tissue-Only Alternative While mesh is the standard of care for larger hernias, many patients with smaller defects are excellent candidates for a non-mesh umbilical repair

Or will high costs, insurance restrictions, side effect burdens, and supply constraints limit them to a small fraction of eligible patients