Patient expectations and decisional regret in the management of ventral hernias.

Introduction: Older adult patients have many factors to contemplate when considering elective ventral hernia repair. In this study, we aimed to understand whether our novel shared decision-making (SDM) aid helped reduce this population's decisional regret when choosing hernia management strategy.

Methods: Patients ≥ 60 years of age presenting for ventral hernia evaluation were randomized to two groups.

The efficacy of goal-directed recommendations in overcoming barriers to elective ventral hernia repair in older adults.

Background: Although ventral hernias are common in older adults and can impair quality of life, multiple barriers exist that preclude ventral hernia repair. The goal of this study was to determine if older adults with ventral hernias achieve surgeon-directed goals to progress to an elective ventral hernia repair.

Methods: Patients ≥60 years evaluated for a ventral hernia in a specialty clinic from January 2018 to August 2021 were retrospectively reviewed.