Research (primarily in animal models) has shown potential effects such as: Supporting soft tissue repair (muscle, tendon, ligament) Promoting angiogenesis (formation of new blood vessels) Supporting gastrointestinal integrity and mucosal protection Modulating inflammatory responses While these findings are promising, clinical research in humans remains limited, and results should be interpreted with caution
Additionally, its effects on gut motility and bowel function mean it warrants caution in patients with bowel obstruction or severe gastrointestinal surgery history
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The first step of the procedure is the abdominal reduction of HH contents by gentle traction of the hernia sac, proceeding gradually with extensive mediastinal mobilization of the esophagus with blunt dissection in order to obtain at least 2-2.5 cm of intra-abdominal esophageal length [Figure 1A and B] [21]