
Episode 1047 • 34 min
Clinical Challenges in Hernia Surgery: Is Optimization Still Necessary for Hernia Surgery?
Share
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/
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen
Behind the Knife Premium: https://behindtheknife.org/premium
Oral Board Review: https://behindtheknife.org/oral-board
Oral Board Simulator: https://behindtheknife.org/oral-board/simulator
General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review
Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas
Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship
Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation
Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-review
Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-review
Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-review
Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-review
Download our App:
Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049
Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
More from Clinical Challenges


Clinical Challenges in Surgical Oncology: Melanoma
EP. 1043 · JUN. 11, 2026 · 35 MIN


Clinical Challenges in Vascular Surgery: Phlegmasia in Pregnancy
EP. 1042 · JUN. 8, 2026 · 38 MIN


Clinical Challenges in Emergency General Surgery: C Diff - When to Pull the Operative Trigger
EP. 1040 · JUN. 1, 2026 · 33 MIN


Clinical Challenges in Vascular Surgery: Asymptomatic Carotid Artery Stenosis
EP. 1033 · MAY. 7, 2026 · 33 MIN


Clinical Challenges in Transplant Surgery: How Xenotransplantation Will Change Our Lives
EP. 1020 · MAR. 30, 2026 · 46 MIN