Lecture #4. What is a ventral hernia and why do we get them? скачать в хорошем качестве

Lecture #4. What is a ventral hernia and why do we get them?

This lecture covers all types of ventral hernias. We discuss what it is. Why you get them. What causes one person to get one and someone else does not. A hernia is a hole. A ventral hernia is one in the abdominal wall. Watch and you will have very few questions about this topic. This lecture provides an in-depth exploration of the surgical management of ventral hernias, focusing on both elective and complex cases. Designed for surgeons, trainees, and healthcare professionals, this session covers the latest techniques, innovations, and decision-making strategies for optimal outcomes. Key topics include:    •   Overview of Ventral Hernias:       •   Types of ventral hernias: Umbilical, incisional, epigastric, and Spigelian.       •   Common causes and risk factors, including obesity, prior surgeries, and wound infections.    •   Indications for Surgery:       •   When to operate: Symptomatic hernias, risk of incarceration or strangulation.       •   Watchful waiting for small, asymptomatic hernias—evidence and guidelines.    •   Surgical Techniques for Ventral Hernia Repair:       •   Open Repair:          •   Primary suture repair for small defects.          •   Use of mesh for tension-free repair and larger hernias.       •   Minimally Invasive Repairs:          •   Laparoscopic techniques: Intraperitoneal Onlay Mesh (IPOM) and extended-view totally extraperitoneal (eTEP) repair.          •   Robotic-assisted hernia repair: Benefits and technical considerations.       •   Component separation techniques for large or complex hernias.    •   Innovations in Mesh Use:       •   Types of mesh: Synthetic, absorbable, and biologic.       •   Mesh positioning: Onlay, sublay, and retrorectus approaches.       •   Managing mesh-related complications like infection or chronic pain.    •   Management of Complications:       •   Intraoperative challenges, including bowel injury and dense adhesions.       •   Postoperative complications: Seroma, infection, recurrence, and chronic pain.    •   Enhanced Recovery and Outcomes:       •   Optimizing preoperative preparation: Smoking cessation, weight management, and nutrition.       •   Implementing Enhanced Recovery After Surgery (ERAS) protocols to improve recovery times. This lecture is perfect for anyone seeking to master the art of ventral hernia repair, from straightforward cases to the most complex scenarios. Join us to enhance your skills and understanding of this essential surgical procedure! He is well-noted for his love of any food, even by Saiyan standards,[4] which can be comical at times. When hypnotized while facing "Jackie Chun", Bulma told Goku dinner was ready, instantly waking him up.[33] Like most Saiyans, Goku loves combat and to challenge strong opponents. As such, Goku rarely shows nervousness or fear when fighting. While not arrogant in his abilities (especially compared to Vegeta), Goku has a tendency to be too relaxed and recklessly challenge anyone he views as strong to a fight. Despite his fighting spirit, he is, at heart, a pacifist, as he often spares his enemies, trying to avoid hurting or even killing people if possible and never using more strength than necessary. He also strongly believes that people can change for the better, as he spared Piccolo, as well as Vegeta, in their respective fights, despite the former wanting to kill him and the latter killing most of Goku's allies. This, combined with his naturally gentle nature, can lead to him letting his guard down. Goku is pure of heart, possessing no negative feelings or thoughts. He is highly loyal to his friends and family, even willing to sacrifice himself to save others as he did against Raditz and Cell. He strongly believes in repaying debts, as he gave the then-evil Vegeta a Senzu Bean for technically saving Gohan and Krillin from the Ginyu Force. He is a man of his word, committed to keeping his promise no matter what; 2 prime examples being the resurrection of Bora and giving the Omni-King a friend even more fun than himself. He has a very practical and carefree view of life and his goals are very simple; he only seeks new adventures and challenges like testing his limits as a warrior. He has no interest in luxury or high-ranking positions, as he rejected Kami's offer to become Guardian of Earth and, likewise, Whis' offer to become the next Universe 7th's God of Destruction, though the latter was mainly due to his morality making him unsuitable for it. At the same time, he shows such unwavering will and tenacity to succeed, always determined to never give up against any adversity.