John Ewing

General surgery resident @VUMCSurgRes, MD 2019 @VUmedicine

[John Ewing @johnkewing]

@RichPierce10 @abhishekpar along these lines - many surgeons in the cohort used different types of mesh depending on the case - which in my mind supports that surgeon discretion/decision-making is a factor, one that is tough to capture. #ahsjc

[John Ewing @johnkewing]

I thought using mesh location as a PSM variable was a real strength and was interested to see that in the subgroup analysis of sublay repairs, recurrence was similar regardless of mesh type. How does this influence practice in cases when sublay repair can be achieved? #AHSJC

[John Ewing @johnkewing]

@RichPierce10 Agree. And the authors certainly acknowledge how difficult to capture - still might be interesting to see an analysis of various subsets of patients - for instance those that involved colon/rectal anastomosis versus GU procedure

[John Ewing @johnkewing]

What are your thoughts of the variety of concomitant procedures that accompany ventral hernia repair in the cohort? Are there certain degrees of contamination even within class II/III that might merit stronger consideration of non-permanent mesh? #AHSJC