For patient referrals: Call 602-521-5969 or 602-839-4242What if restoring a patient’s core function required more than just closing a defect? In this episode of Beyond the Rounds, we explore complex abdominal wall reconstruction—one of the most technically demanding areas in surgery—and why a multidisciplinary approach is essential for achieving optimal outcomes. Dr. Nolan Fisher sits down with plastic and reconstructive surgeon Dr. Jimmy Chim and general surgeon Dr. Priya Rajdev to discuss how collaboration, surgical innovation and thoughtful pre-operative planning are redefining what’s possible for patients with complex hernias and abdominal wall defects.Far beyond a “simple hernia repair,” these cases often involve loss of domain, prior surgical complications or missing abdominal wall components that significantly impact a patient’s function and quality of life. From minimally invasive techniques to advanced reconstructive procedures, today’s surgical approaches are focused not just on repair, but on restoring strength, stability and independence.This episode explores how these procedures work, which patients may benefit and why optimizing health before surgery is often just as important as the operation itself.This episode is designed for physicians, advanced practice providers and clinicians seeking a practical understanding of complex hernia repair, abdominal wall reconstruction and multidisciplinary surgical care.What We Cover-Why not all hernia repairs are the same—and when cases become “complex”-The concept of loss of domain and its impact on surgical planning-Differences between minimally invasive and open reconstruction techniques-How component separation restores abdominal wall function-The role of mesh—synthetic, biologic and bio-resorbable options-When and why plastic surgery and general surgery collaborate-Prehabilitation: weight loss, diabetes control and smoking cessation-Managing recurrence and why the first repair matters most-Surgical staging vs. single-stage reconstruction-Real-world cases highlighting decision-making and techniqueKey Topics for Clinicians-Complex abdominal wall reconstruction-Ventral and incisional hernias-Loss of domain-Component separation techniques-Minimally invasive hernia repair-Surgical mesh selection-Preoperative optimization (prehab)-Multidisciplinary surgical care-Plastic and reconstructive surgery collaboration-Hernia recurrence preventionAbout Our Guests-Dr. Jimmy Chim is a plastic and reconstructive surgeon specializing in complex abdominal wall reconstruction and advanced soft tissue reconstruction. His work focuses on restoring both form and function for patients with significant surgical defects, trauma or prior complications.-Dr. Priya Rajdev is a general surgeon specializing in minimally invasive foregut and complex abdominal wall surgery. She brings expertise in laparoscopic and robotic techniques to treat hernias and abdominal wall defects through smaller incisions while maintaining strong clinical outcomes.How to Refer a PatientBanner Health providers: Use Cerner’s Ambulatory Referral Management (ARM) tool.Community providers: Call 602-521-5969 or 602-839-4242 to schedule a patient for evaluation.DisclaimerThis podcast is intended for educational purposes only and is designed for a clinical audience. Any patient scenarios discussed are modified and de-identified to protect privacy. No protected health information (PHI) is disclosed. The information presented should not replace independent medical judgment or individualized patient care decisions.Subscribe to Beyond the Rounds for physician-focused conversations on clinical innovation, specialty collaboration and evolving standards of care.