Incisional hernia is one of the most common long-term complications associated with surgical interventions. In this episode from the Hernia and Abdominal Wall Reconstruction team at Behind the Knife, we discuss evidence-based decision making to reduce incisional hernia rates following laparotomy. We review preoperative factors associated with hernia occurrence, intraoperative decision making related to fascial closure technique, and review literature on prophylactic mesh augmentation. 

·       Dr. Vahagn Nikolian is an Assistant Professor of Surgery at Oregon Health & Science University, focused on abdominal wall reconstruction and hernia repair. 
·       Dr. Sean Orenstein is an Associate Professor of Surgery at Oregon Health & Science University, focused on abdominal wall reconstruction and hernia repair.
·       Dr. Emaad Iqbal is a resident in General Surgery at Columbia University Medical Center. 
·       Dr. Shahrose Rahman is a resident in General Surgery at Oregon Health & Science University. 

Seminal Papers in Hernia Prevention Techniques
STITCH Trial: https://pubmed.ncbi.nlm.nih.gov/26188742/
PRIMAAT Trial: https://pubmed.ncbi.nlm.nih.gov/26943336/
PRIMA Trial: https://pubmed.ncbi.nlm.nih.gov/28641875/
 
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