In this episode of BoardsCast, we continue our walk through Tobias Chapter 84 – Abdominal Wall Reconstruction and Hernias by breaking down the three major hernia categories surgeons must recognize immediately: congenital, traumatic, and incisional.

Each looks different, each behaves differently — but all follow the same biomechanical rules:

• Defect size, tension forces, and tissue quality determine success or failure.

You’ll learn:

• How congenital hernias form and why they’re often structurally weak
• Why traumatic hernias defy anatomic rules and challenge surgical planning
• How incisional hernias reveal mechanical failure—not infection or suture choice
• What tissue handling mistakes set up hernias long before they occur
• The physics behind defect enlargement and why chronic cases remodel
• How to evaluate reducibility, incarceration risk, and surgical priority
• High-yield board distinctions between types, causes, and repair principles

If you’ve ever wanted a surgeon-focused, biomechanical explanation of hernias — this is the episode.

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