Episode 8 - "Measuring to Repair: How CT Changed Domain Loss Hernia Surgery"

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Master General Surgery And Trauma

Dr. Jocielle Miranda, MD

22 episodes

5 months ago

Podcast Description – “Master General Surgery and Trauma”

🎙️ Master General Surgery and Trauma is your go-to podcast for cutting-edge discussions on surgical innovation, trauma care, and evidence-based medicine. Developed under the curation of leading experts from General Surgery and Trauma, this podcast explores the most relevant topics shaping modern surgical practice.

Each episode features in-depth analyses of clinical protocols, surgical techniques, trauma management strategies, and patient safety improvements. This podcast is developed by experienced surgeons and academic leaders in General Surgery and Trauma, combining scientific evidence, clinical research, and real-world surgical experience. Each episode delivers carefully curated content that deepens understanding of surgical principles, enhances decision-making, and promotes excellence in patient care.

Whether you’re a surgeon, resident, medical student, or healthcare professional, this podcast provides valuable discussions that bridge the gap between theory and practice in abdominal wall, treatment of surgical complications, emergency surgery, trauma care, and surgical oncology.

🔹 Stay informed.
🔹 Stay prepared.
🔹 Master the art of General Surgery and Trauma.

🎧 Tune in now and take your surgical knowledge to the next level!

All content for Master General Surgery And Trauma is the property of Dr. Jocielle Miranda, MD and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.

Episode 8 - "Measuring to Repair: How CT Changed Domain Loss Hernia Surgery"

Master General Surgery And Trauma

12 minutes

6 months ago

Episode 8 - "Measuring to Repair: How CT Changed Domain Loss Hernia Surgery"

🎙️ Episode 8 – Measuring to Repair: How CT Changed Domain Loss Hernia Surgery

This episode unpacks the scientific and surgical impact of using abdominal CT scans to objectively calculate hernia sac volume (HSV) and abdominal cavity volume (ACV) in patients with large incisional hernias with loss of domain (LIHLD).

We examine how this technique addresses four key challenges:
🔹 Difficulty managing domain loss due to chronic herniation
🔹 Risk of abdominal compartment syndrome (ACS) during visceral reintegration
🔹 Lack of standardization in preoperative progressive pneumoperitoneum (PPP)
🔹 Inaccuracy of physical exam for volume estimation, especially in obese patients

The CT-based volume ratio (VR = HSV/ACV) allows for reproducible inclusion in PPP protocols, removes subjectivity, and defines the gas volume needed to optimize intra-abdominal space before surgical repair.

🧠 Take-Home Messages:

Domain loss hernias demand preoperative planning rooted in precision
CT volumetrics provide a scientific basis for PPP
A VR ≥ 25% is a critical threshold for safer surgical outcomes

📢 Available on all major platforms and in the Google Classroom of the Abdominal Wall and Content Group – HC-FMUSP.