Behind The Knife: The Surgery Podcast28 Sep 2023

Journal Review in Hernia Surgery: Smoking in Elective Open Ventral Hernia Repair

How do you counsel the patient with a large painful hernia who still smokes a pack of cigarettes every day? Join Drs. Michael Rosen, Clayton Petro, Sara Maskal, and Ryan Ellis as they discuss some of the highlights in the literature on smoking and its impact on postoperative outcomes in elective, clean open ventral hernia repairs.

Hosts:
- Michael Rosen, Cleveland Clinic
- Clayton Petro, Cleveland Clinic
- Sara Maskal, Cleveland Clinic
- Ryan Ellis, Cleveland Clinic, @ryanellismd

Learning objectives:
- Evaluate historical data on smoking in surgery
- Compare with newer literature specific to contemporary ventral hernia repairs
- Understand how the historical and new data can be applied in clinical practice

References:
Møller AM, Villebro N, Pedersen T, Tønnesen H. Effect of preoperative smoking intervention on postoperative complications: a randomised clinical trial. Lancet. 2002 Jan 12;359(9301):114-7. doi: 10.1016/S0140-6736(02)07369-5. PMID: 11809253.

Kubasiak JC, Landin M, Schimpke S, Poirier J, Myers JA, Millikan KW, Luu MB. The effect of tobacco use on outcomes of laparoscopic and open ventral hernia repairs: a review of the NSQIP dataset. Surgical Endoscopy. 2017 Jun;31:2661-6.

DeLancey JO, Blay Jr E, Hewitt DB, Engelhardt K, Bilimoria KY, Holl JL, Odell DD, Yang AD, Stulberg JJ. The effect of smoking on 30-day outcomes in elective hernia repair. The American Journal of Surgery. 2018 Sep 1;216(3):471-4.

Sørensen LT. Wound healing and infection in surgery: the clinical impact of smoking and smoking cessation: a systematic review and meta-analysis. Archives of surgery. 2012 Apr 1;147(4):373-83.

Petro CC, Haskins IN, Tastaldi L, Tu C, Krpata DM, Rosen MJ, Prabhu AS. Does active smoking really matter before ventral hernia repair? An AHSQC analysis. Surgery. 2019 Feb;165(2):406-411. doi: 10.1016/j.surg.2018.07.039. Epub 2018 Sep 13. PMID: 30220485.

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

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

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(500)

Clinical Challenges in Endocrine Surgery: Adrenal Cases

There are many acceptable approaches to adrenalectomy. Hypercortisolism with adrenal origin is a challenging topic especially in a population where obesity is incredibly common. A thorough biochemica...

24 Aug 29min

Operative Standards for Cancer Surgery Series: Liver Resection for Hepatocellular Carcinoma

This mini-series on Behind the Knife will delve into the technical aspects of the Operative Standards for Cancer Surgery, developed through the American College of Surgeons Cancer Research Program. Th...

20 Aug 28min

USA vs. UK: ASGBI Ep. 10 - The Nuanced Approach to Abdominal Wall Reconstruction

In this episode, we discuss all things abdominal wall reconstruction. What is this new developing field, just patching “holes” with meshes or something more? We delve into the impact of the robot in t...

17 Aug 38min

Surgical Endoscopy Series Ep. 5: Novel Endosurgical Techniques

In this surgical endoscopy episode, the BTK team introduces endoscopic surgical procedures that are perhaps less well known. They cover primary endoscopic treatments for gastroesophageal reflux, esoph...

13 Aug 41min

Journal Review in Minimally Invasive Surgery: Digital Surgery

Digital surgery has morphed from buzzword into ubiquitous high-impact technology. In this episode, the BTK MIS team steps into the rapidly evolving ecosystem of cameras, sensors, robotics, and softwar...

10 Aug 28min

Journal Review in Thoracic Surgery: Empowering IMGs in CT Surgery - the Time to Act is Now

Navigating the path to becoming a surgeon in the US as an International Medical Graduate (IMG) can definitely have its hurdles. In this episode we sit down with Professor of Surgery, Dr. Ourania Preve...

6 Aug 26min

Clinical Challenges in Burn Surgery: Have Some Skin (Substitutes) In the Game

Join our burn team as they dive into the complex world of skin substitutes in burn care, breaking down a practical four-axis framework to help clinicians navigate product selection, patient factors, a...

3 Aug 29min

Power, Partnerships, and the Reality of Global Surgery Collaboration

In this episode of the Behind the Knife Global Surgery Series, we take a closer look at the real-world complexity of global surgery partnerships between high-income institutions and partners in the Gl...

30 Jul 29min