Please elaborate on the terms marked with <elab> and replace only the terms marked with <rep> with simpler language, keeping the rest of the sentence unchanged, in the following sentence: After the primary <elab>MED</elab> surgery, the artificial cracks in <rep>annulus fibrosus</rep> would change the <elab>laminate structure</elab>, and make the annulus be more easily to <rep>delamination</rep>. Based on the <elab>damage in annulus fibrosus</elab>, the recurrent herniation easily occurred.

Besides output the result sentence,
additional output should be in the format '<elab>TERM</elab> = Explanation', and '<rep>TERM</rep> = Simplified term Include at least 19 hashtags, starting with '#'
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