Behind the knife

Post-sternotomy upper abdominal hernias are common and can pose a challenge for traditional repair techniques. This video highlights how to extend the dissection and expose the central tendon of the diaphragm during the repair of upper abdominal hernias. The case is related to a recurrent incisional hernia and features management of percutaneous temporary pacing wires, dissection of the central tendon, and defect closure techniques.