Biologic vs Synthetic Inguinal Hernia Repair: 1-Year Results of a Randomized Double- Blinded Trial Grant V. Bochicchio, MD, MPH, FACS, Ajay Jain, MD,

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Biologic vs Synthetic Inguinal Hernia Repair: 1-Year Results of a Randomized Double- Blinded Trial Grant V. Bochicchio, MD, MPH, FACS, Ajay Jain, MD, FACS, Kelly McGonigal, RN, BSN, Douglas Turner, MD, FACS, Obeid Ilahi, MD, FACS, Stacey Reese, RN, BSN, MS, Kelly Bochicchio, RN, BSN, MS Journal of the American College of Surgeons Volume 218, Issue 4, Pages 751-757 (April 2014) DOI: 10.1016/j.jamcollsurg.2014.01.043 Copyright © 2014 American College of Surgeons Terms and Conditions

Figure 1 CONSORT (Consolidated Standards of Reporting Trials) flow diagram. Journal of the American College of Surgeons 2014 218, 751-757DOI: (10.1016/j.jamcollsurg.2014.01.043) Copyright © 2014 American College of Surgeons Terms and Conditions

Figure 2 (A) Intraoperative photo demonstrating Inguinal Hernia Matrix (IHM; Cook Medical) 1 year post repair. It is virtually impossible to distinguish between native tissue and the remodeled IHM. (B) Intraoperative photo demonstrating a recurrence at the internal ring. Journal of the American College of Surgeons 2014 218, 751-757DOI: (10.1016/j.jamcollsurg.2014.01.043) Copyright © 2014 American College of Surgeons Terms and Conditions

Figure 3 Pain scores at 2 weeks, 3 months, and 12 months. IHM, Inguinal Hernia Matrix (Cook Medical); PP, polypropylene mesh. Journal of the American College of Surgeons 2014 218, 751-757DOI: (10.1016/j.jamcollsurg.2014.01.043) Copyright © 2014 American College of Surgeons Terms and Conditions