A 64-Year-Old Woman Undergoes Elective Inguinal Hernia Repair

A 64-year-old woman undergoes elective inguinal hernia repair.  The patient has had a left inguinal hernia for the past several years, but it recently increased in size, became more uncomfortable, and began affecting her daily activities.  Medical history includes hypertension, hyperlipidemia, and a previous cesarean delivery.  The patient does not use tobacco, alcohol, or illicit drugs.  Vital signs are within normal limits, and physical examination is unremarkable except for a reducible left inguinal hernia.  After consideration of the surgical options, the patient undergoes a nonmesh open hernia repair with no intraoperative complications.  At discharge, the patient is advised to limit strenuous physical activity to prevent wound disruption.  Which of the following will provide the maximum tensile strength to this patient's wound?

A) Collagen cross-linking
B) Fibroblast proliferation
C) Hemostatic plugging
D) Myofibroblast contraction
E) Reepithelialization

Correct Answer:

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