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Ventral Hernia Repair - Review

Dr. Chandana Sri @santalum_aurum

#Ventral #Hernia #Repair #Surgery #Anatomy
Ventral Hernia Repair ... santalum_aurum #Ventral ... #Hernia #Repair ... #Surgery #Anatomy
Causes of Apparent Life Threatening Event (ALTE) - Differential Diagnosis Algorithm
Cardiac:
 • Congenital Heart Disease
 •
Life Threatening Event ... (ALTE) - Differential ... Disorders • Central ... • Incarcerated Hernia ... LifeThreatening #Event
Stress Dose Steroids - Medical and Surgery Indications
Minor Stress:
 • Inguinal hernia repair
 • Mid febrile
- Medical and Surgery ... : • Inguinal hernia ... cardiothoracic surgery ... • Whipple Procedure
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
Invasive/Surgical Procedures ... Low Risk: • Dental ... cholecystectomy, hernia ... resection) • Other general ... biopsy) • Complex dental
Types of Urinary Diversion Procedures
Ileal Conduit:
 • Technically simpler, fewer complications, and well understood. No bladder
Urinary Diversion Procedures ... complications (hernias ... covered with band-aid ... Technically difficult surgery ... Technically difficult surgery
Types of Bariatric Surgery
Adjustable Gastric Banding:
 • Decreasing in prevalence, 3% of bariatric surgeries performed
 •
Types of Bariatric Surgery ... 2nd most common procedure ... reduced gastric acid ... ulcers, internal hernia ... Relatively uncommon procedure
Perioperative Medications - Which Medications to Hold or Continue?
Aspirin - Continue
 • Aspirin should be continued
neurosurgical procedures ... arrhythmias) - Even ... • General approach ... /procedure. ... be safe and may even
Ventral Incisional Abdominal Hernia on Physical Exam

This is an incisional hernia. That means, the patient has
Ventral Incisional ... Abdominal Hernia ... an incisional hernia ... incision from surgery ... Repair of the hernia
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
may be inciting events ... Paraesophageal hernia ... Hypothesis: initial event ... topical injury (by acid
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
& Fe Sucrose > alt ... ACD • Monitor & ... deficiency symptoms even ... improvement w/ mental