Are we failing our patients? Ventral hernia recurrence with Drs. Todd Heniford and Michael Rosen

Behind The Knife: The Surgery Podcast

Medicine, Health & Fitness, Education, Science

4.8 • 1.4K Ratings

🗓️ 27 May 2024

⏱️ 70 minutes

🔗️ Recording | iTunes | RSS

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Summary

Join Drs. Jason Bingham (@BinghamMd) and Patrick Georgoff (@georgoff) for a thought-provoking discussion with titans of hernia surgery Drs. Todd Heniford (@THeniford) and Michael Rosen (@MikeRosenMD). You don't want to miss this one! This episode goes deep, touching on some of the most vexing questions in the world of abdominal wall reconstruction.

Highlights:

Hernia is chronic disease process. Surgeons should act like it and patients need to understand this.
Follow-up data is hard to come by and therefore limited. Studies must be interpreted with this in mind.
Hernia surgery is sexy, which is both exciting and concerning.
"Technology is not useful until it is boring." New techniques and devices can hurt patients.
Complicated hernias should be sent to hernia centers. Otherwise, general surgeons are more than capable of doing the repair.

Link to paper: https://jamanetwork.com/journals/jamasurgery/fullarticle/2816986

Link to ACHQC: https://achqc.org/

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Transcript

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0:00.0	Behind the surgery podcast, relevant and engaging content designed to help you dominate the day.
0:13.0	Welcome back to Behind the Night.
0:23.4	This Patrick George off and Jason Bingham here.
0:25.6	And as always, thank you for tuning in with us.
0:28.2	There's a quick reminder that if you are in need of CME credits,
0:31.8	check us out. It's completely free free just head to the website or the
0:34.5	app for more information and today Jason I are joined by absolute Titans in the
0:41.0	field of hernia surgery.
0:42.6	Yes, I said, Titans is Dr. Todd Hennifer and Mike Rosenhaushold
0:46.9	names practically by now, especially on Behind the Knife.
0:49.6	And we're pleased to have you bold with us.
0:51.2	Welcome to the show, gentlemen. Dr.
0:54.7	Haniford is chief of the division of gastrointestinal and minimally invasive surgery
0:59.1	and director of the Carolinas Erniea Institute at Atrium Health Carolinas Medical Center, and Dr. Rosen is professor of surgery and director of the comprehensive Ernie Center at the Cleveland Clinic.
1:10.0	And so I think it's safe to say that these guys know I think or two about hernia.
1:15.0	So when Jason and I recently read a paper in Jama showing a five-year recurrence rate after
1:20.6	ventral hernia repair of greater than 40% in patients with
1:23.8	mess repairs and greater than 70% in patients without mesh. We knew we needed to
1:29.8	get the real experts on the horn to help us make sense of these results and I think
1:33.2	really more importantly to break down what it means for the hernia surgeon who
1:39.8	does not devote 100% of their time to the abdominal wall but do quite a bit of
1:45.5	earning a surgery. So really some of the questions that come up are we collectively
	...

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