# Clinical Challenges in Hernia Surgery: Is Optimization Still Necessary for Hernia Surgery?

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Text version: https://stenobird.com/podcast/behind-the-knife-the-surgery-podcast-321171/clinical-challenges-in-hernia-surgery-is-optimization-still-necessary-for-hernia-surgery.md
Podcast: [Behind The Knife: The Surgery Podcast](https://stenobird.com/podcast/behind-the-knife-the-surgery-podcast-321171)
Published: 2026-06-25T07:00:00+00:00
Episode link: https://audioboom.com/posts/8920330
Audio file: https://pdst.fm/e/arttrk.com/p/ABMA5/pscrb.fm/rss/p/dts.podtrac.com/redirect.mp3/audioboom.com/posts/8920330.mp3?modified=1782303041&sid=5046960&source=rss
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Duration seconds: 2059

## Resource

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.n…

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