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Clinical Challenges in Hernia Surgery: Is Optimization Still Necessary for Hernia Surgery?

· 34 min · Episode 147 · Bonus

Episode Clinical Challenges in Hernia Surgery: Is Optimization Still Necessary for Hernia Surgery?

0:00 34:19

Join our Hernia Team for a review of the current controversy around preoperative optimization and the practical implications.

Hosts:

• Dr. Maggie Bosley - @MBosleyMD • Dr. Sean Orenstein - @OrensteinSean • Dr. Amber Sandoval • Dr. Peter Ferrin

Institution: Oregon Health & Science University

References: Adverse Events after Ventral Hernia Repair: The Vicious Cycle of Complications https://pubmed.ncbi.nlm.nih.gov/26206646/

Risk factors for postoperative wound infections and prolonged hospitalization after ventral/incisional hernia repair https://pubmed.ncbi.nlm.nih.gov/24030572/

lack of association between glycated hemoglobin and adverse outcomes in diabetic patients undergoing ventral hernia repair: an ACHQC study https://pubmed.ncbi.nlm.nih.gov/35969297/

Impact of preoperative haemoglobin A1c levels on postoperative outcomes in adults undergoing major noncardiac surgery: A systematic review https://pubmed.ncbi.nlm.nih.gov/38853752/

Does active smoking really matter before ventral hernia repair? An AHSQC analysis https://pubmed.ncbi.nlm.nih.gov/30220485/

Abstinence from smoking reduces incisional wound infection: a randomized controlled trial https://pubmed.ncbi.nlm.nih.gov/12832959/

The Association of Nicotine Replacement Therapy With Outcomes Among Smokers Hospitalized for a Major Surgical Procedure https://pubmed.ncbi.nlm.nih.gov/31790653/

Is weight trajectory a better marker of wound complication risk than BMI in hernia patients with obesity? https://pubmed.ncbi.nlm.nih.gov/38082008/

Gender, racial, and socioeconomic disparity of preoperative optimization goals in ventral hernia repair https://pubmed.ncbi.nlm.nih.gov/37658198/

Limited or Lasting: Is Preoperative Weight Loss as Part of Prehabilitation Maintained after Open Ventral Hernia Repair? https://pubmed.ncbi.nlm.nih.gov/39907236/

The impact of preoperative optimization for abdominal wall reconstruction on long-term glucose control and smoking cessation https://pubmed.ncbi.nlm.nih.gov/40739418/

Watchful waiting as a treatment strategy for patients with a ventral hernia appears to be safe https://pubmed.ncbi.nlm.nih.gov/26838293/

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