Joe Deka

Full time surgeon, part time cowboy.

[Joe Deka @cowboymd]

Would love to hear from those who do a lot of non-mesh hernia repair #ahsjc

[Joe Deka @cowboymd]

This paper also shows differences in recurrence rates between primary vs mesh repair, open vs MIS #AHSJC

[Joe Deka @cowboymd]

Would love to know the mechanics behind Herniamed. Who collects the data and how? Who enters it into the registry? #hernia #AHSJC

[Joe Deka @cowboymd]

I’ll be changing my practice based on this one. #alwayslearning #AHSJC

[Joe Deka @cowboymd]

I’d like to say yes, but in truth my data collection is nowhere near what Herniamed is #ahsjc

[Joe Deka @cowboymd]

Interesting to see differences between time to recurrence in ventral vs inguinal hernias #AHSJC

[Joe Deka @cowboymd]

True, but in all truth the amount and time for data entry is a barrier to some

[Joe Deka @cowboymd]

What are barriers to a robust national registry here? #AHSJC

[Joe Deka @cowboymd]

@Sal_Docimo Gotta embrace your failures! Can’t keep our heads in the sand if we want to improve

[Joe Deka @cowboymd]

A dedicated nurse or mid level would be able to offload this from a busy clinic schedule as well

[Joe Deka @cowboymd]

Will following all these patients forever create workflow problems? How do we schedule them efficiently? If you do 200 hernias a year, in 5 years you have 1000 patients to follow for life #AHSJC

[Joe Deka @cowboymd]

Great point. Telemedicine is a great option for these patients. One thing to thank Covid for? #ahsjc

[Joe Deka @cowboymd]

Use the hashtag so that responses show inline for the discussion under the “latest” tab #AHSJC

[Joe Deka @cowboymd]

@Nguyen_Nguyen_2 @Sal_Docimo @AmericanHernia Truth. A registry database would capture these patients. No one has 0% recurrence

[Joe Deka @cowboymd]

I was always taught that most hernia recurrences happen in the first couple years postop. Apparently not the case! #AHSJC

[Joe Deka @cowboymd]

Hernia patients are patients for life #AHSJC

[Joe Deka @cowboymd]

Would love to know how they do all that data entry. Any overseas colleagues that could pull back the curtain? #AHSJC

[Joe Deka @cowboymd]

The poll was very interesting. Vast majority or respondents do not follow past one year #ahsjc