Clinical Challenges in Hernia Surgery: Lateral Abdominal Wall Hernias

Though relatively rare, lateral abdominal wall hernias present a unique challenge to surgeons. Join Drs. Ajita Prabhu, Lucas Beffa, Sara Maskal and Ryan Ellis as they talk through their approach to these difficult cases.  

Hosts:  
· Ajita Prabhu, MD, Cleveland Clinic, @aprabhumd1 
· Lucas Beffa, MD, Cleveland Clinic, @BeffaLukeMD 
· Ryan Ellis, MD, Cleveland Clinic, @EllisMD2020 
· Sara Maskal, MD, Cleveland Clinic 

Learning Objectives:  
· Review anatomy of lateral abdominal wall hernias 
· Review pitfalls of operating in the retroperitoneum 
· Review surgical approaches to repair defects based on algorithmic assessment  

References: 
· Montelione KC, Petro CC, Krpata DM, Lau B, Shukla P, Olson MA, Tamer R, Rosenblatt S, Rosen MJ, Prabhu AS. Open Retromuscular Lateral Abdominal Wall Hernia Repair: Algorithmic Approach and Long-Term Outcomes at a Single Center. J Am Coll Surg. 2023 Jan 1;236(1):220-234. doi: 10.1097/XCS.0000000000000419. Epub 2022 Dec 15. PMID: 36106747. 
https://pubmed.ncbi.nlm.nih.gov/36106747/

· Beffa LR, Margiotta AL, Carbonell AM. Flank and Lumbar Hernia Repair. Surg Clin North Am. 2018 Jun;98(3):593-605. doi: 10.1016/j.suc.2018.01.009. Epub 2018 Mar 12. PMID: 29754624. 
https://pubmed.ncbi.nlm.nih.gov/29754624/

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