Clinical Challenges in Hernia Surgery: Open Preperitoneal Ventral Hernia Repair

Listen to another episode by the Hernia Team from Carolinas Medical Center as they discuss their approach to open preperitoneal ventral hernia repair. Although uncommonly performed, a preperitoneal approach offers several advantages including the ability to achieve large mesh overlap without the need for myofascial release. The team discusses their tips and tricks for utilizing the preperitoneal space in even the most challenging hernia cases.

Hosts:
- Dr. Sullivan “Sully” Ayuso, Chief Resident, Carolinas Medical Center, @SAyusoMD (Twitter)
- Dr. Todd Heniford, Chief of GI & MIS, Carolinas Medical Center, @THeniford (Twitter)
- Dr. Vedra Augenstein, Professor of Surgery, Carolinas Medical Center, @VedraAugenstein (Twitter)
- Dr. Monica Polcz, Attending Surgeon, Baptist Health (Miami, FL)

Learning Objectives:
- Review standard methods of herniorraphy in open abdominal wall reconstruction
- Introduce the concept of open preperitoneal ventral hernia repair
- Discuss the advantages as well as the standard tips and tricks for performing an open preperitoneal repair
- Review outcomes for preperitoneal hernia repair over time

Podcast Video Clip: https://www.youtube.com/watch?v=3pMvB0rnokQ

References:
- Novitsky et al, Open Preperitoneal Retrofascial Mesh Repair for Multiply Recurrent Ventral Incisional Hernias, JACS, 2006
https://pubmed.ncbi.nlm.nih.gov/36280505/

- Heniford et al, Preperitoneal Ventral Hernia Repair: A Decade Long Prospective Observational Study with Analysis of 1023 Patient Outcomes, Annals of Surgery, 2020
https://pubmed.ncbi.nlm.nih.gov/30080725/

- Katzen et al, Open Preperitoneal Ventral Hernia Repair: Prospective Observational Outcomes of Quality Improvement Outcomes Over 18 Years and 1,842 Patients, Surgery, 2023
https://pubmed.ncbi.nlm.nih.gov/36280505/

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