Clinical Challenges in Hernia Surgery: Loss of Domain

Behind The Knife: The Surgery Podcast

Science, Medicine, Health & Fitness, Education

4.8 • 1.4K Ratings

🗓️ 29 June 2023

⏱️ 39 minutes

🔗️ Recording | iTunes | RSS

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Summary

In their BTK debut, the Hernia team from Carolinas Medical Center discusses how to approach a hernia patient with loss of domain. This Clinical Challenges episode reviews strategies that optimize patients and provide them with the best chance of fascial closure. So, tune in, and enjoy a data driven conversation with our newest hernia enthusiasts!

Hosts:
- Sullivan "Sully" Ayuso, MD - PGY4 General Surgery Resident, sullivan.ayuso@gmail.com, Carolinas Medical Center
- Monica Polcz, MD - Clinical Fellow (PGY-8) in Abdominal Wall Reconstruction, monica.polcz@atriumhealth.org, Carolinas Medical Center
- Vedra Augenstein, MD FACS - Associate Professor of Surgery (11 years in practice), vedra.augenstein@gmail.com, Carolinas Medical Center B
- Todd Heniford, MD FACS - Professor of Surgery (25 years in practice), todd.heniford@gmail.com, Carolinas Medical Center

Links to articles:
- Katzen et al, Open Preperitoneal Ventral Hernia Repair: Prospective Observational Study of Quality Improvement Outcomes over 18 Years and 1,842 patients, Surgery, 2022
https://pubmed.ncbi.nlm.nih.gov/36280505/
- Bernardi et al, Primary Fascial Closure During Laparoscopic Ventral Hernia Repair Improves Patient Quality of Life: A Multicenter, Blinded Randomized Trial, Ann Surg, 2020
https://pubmed.ncbi.nlm.nih.gov/31365365/
- Deerenberg et al, The Effects of Preoperative Botulinum Toxin A on Abdominal Wall Reconstruction, J Surg Res, 2021
https://pubmed.ncbi.nlm.nih.gov/33360691/
- Bueno-Lledó, Preoperative Progressive Pneumoperitoneum and Botulinum Toxin A in Patients with Large Incisional Hernia, Hernia, 2017
https://pubmed.ncbi.nlm.nih.gov/28124308/
- Maloney et al, Twelve Years of Component Separation Technique in Abdominal Wall Reconstruction, Surgery, 2021
https://pubmed.ncbi.nlm.nih.gov/31358348/
- Ayuso et al, Delayed Primary Closure (DPC) of the Skin and Subcutaneous Tissues Following Complex, Contaminated Abdominal Wall Reconstruction (AWR): A Propensity-Matched Study, Surg Endo, 2022
https://pubmed.ncbi.nlm.nih.gov/34018046/

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If you liked this episode, check out more hernia episodes here: https://behindtheknife.org/podcast-category/hernia/

Transcript

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0:00.0	Behind the Night, the surgery podcast, relevant and engaging content designed to help you dominate the day.
0:22.0	Welcome to another episode of Behind the Knife.
0:25.0	I'm proud to say that this is the first episode from the Herneia content team at Carolina's Medical Center.
0:30.0	So we will start with brief introductions.
0:33.0	First, we will introduce the most senior member of our team, Dr. Haniford.
0:37.0	Hi, this is Dr. Todd Haniford.
0:40.0	I have been at the Carolina's Medical Center now for almost 25 years.
0:43.0	We began our Herneia program officially in 2004 and have worked hard through the last 20 years or so.
0:52.0	And I guess propagating abdominal reconstruction and training fellows.
0:57.0	And next is the newly appointed Professor of Surgery, Dr. Vedrogensstein, Dr. Argonstein.
1:02.0	We're really glad to have you.
1:04.0	Thanks, Sally. I'm Vedrogensstein.
1:06.0	I actually did my fellowship here at Carolina's in 2010.
1:10.0	So if you do the math, I've been here for about 13 years now.
1:14.0	And basically was very interested in minimally invasive surgery.
1:18.0	Didn't know a lot about Herneia's, but then learned a lot about them and fellowship.
1:22.0	And really enjoyed doing them now.
1:24.0	Wonderful and current GI and MIS fellow Dr. Monica Poltz.
1:29.0	Thanks, Sally. Monica Poltz.
1:31.0	I'm the current fellow at the Carolina's Medical Center.
1:34.0	I've had a fantastic time learning more about complex abdominal wall reconstruction
1:38.0	and taking care of these patients.
	...

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