The European Hernia Society Prehabilitation Project: a systematic review of patient prehabilitation prior to ventral hernia surgery

Jensen, Kristian K.; East, B; Jíšová, Barbora; Cano, Manuel López; Cavallaro, Giuseppe; Jørgensen, Lars N.; Rodrigues, Víctor; Stabilini, Cesare; Wouters, Diederick B.; Berrevoet, Frederik

doi:10.1007/s10029-022-02573-2

Cited by 19 publications

(4 citation statements)

References 74 publications

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“…This finding is in line with studies reporting that prehabilitation might facilitate amelioration of the preoperative condition of patients undergoing complex abdominal wall repair [ 15 , 17 , 23 , 27 ]. A recent systematic review performed by Jensen also concluded that smoking cessation and weight loss for obese patients led to reduced complication risks, as was seen in this study [ 28 ].…”

Section: Discussionsupporting

confidence: 71%

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The influence of a multidisciplinary team meeting and prehabilitation on complex abdominal wall hernia repair outcomes

Jong

Wegdam

Berkvens

et al. 2023

Hernia

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Section: Discussionsupporting

confidence: 71%

“…These results emphasize the potential effect of prehabilitation. It has even been suggested that prehabilitation of high-risk patients is as important as, if not more important than, the surgical technique itself [ 17 , 28 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

The influence of a multidisciplinary team meeting and prehabilitation on complex abdominal wall hernia repair outcomes

Jong

Wegdam

Berkvens

et al. 2023

Hernia

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“…Recent literature tends to -rightfully so- lay focus on the importance of patient-specific prehabilitation for surgery, including adequate management of underlying systemic comorbidities, lifestyle and chronic medical therapy. This is in fact the subject of a parallel data analysis conducted by this research team ( 14 ). However, besides patient-specific prehabilitation, general prevention strategies that can be applied to most or all patients with ventral hernia to provide optimal standard of care should be implemented as well.…”

Section: Introductionmentioning

confidence: 99%

The European Hernia Society Prehabilitation Project: A Systematic Review of Intra-Operative Prevention Strategies for Surgical Site Occurrences in Ventral Hernia Surgery

et al. 2022

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BackgroundVentral hernia repair is one of the most commonly performed surgical procedures worldwide. To reduce the risk of complications, pre- and intra-operative strategies have received increasing focus in recent years. To assess possible preventive surgical strategies, this European Hernia Society endorsed project was launched. The aim of this review was to evaluate the current literature focusing on pre- and intra-operative strategies for surgical site occurrences (SSO) and specifically surgical site infection (SSI) in ventral hernia repair.MethodsA systematic review was conducted and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Databases used were Pubmed and Web of Science. Original retrospective or prospective human adult studies describing at least one intra-operative intervention to reduce SSO after ventral hernia repair were considered eligible.ResultsFrom a total of 4775 results, a total of 18 papers were considered suitable after full text reading. Prehospital chlorhexidine gluconate (CHG) scrub appears to increase the risk of SSO in patients undergoing ventral hernia repair, while there is no association between any type of surgical hat worn and the incidence of postoperative wound events. Intraoperative measures as prophylactic negative pressure therapy, surgical drain placement and the use of quilt sutures seem beneficial for decreasing the incidence of SSO and/or SSI. No positive effect has been shown for antibiotic soaking of a synthetic mesh, nor for the use of fibrin sealants.ConclusionThis review identified a limited amount of literature describing specific preventive measures and techniques during ventral hernia repair. An advantage of prophylactic negative pressure therapy in prevention of SSI was observed, but different tools to decrease SSIs and SSOs continuously further need our full attention to improve patient outcomes and to lower overall costs.

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“…Pre-operative tools such as progressive pneumoperitoneum (PPP) or botulinum toxin type A (BT) have been reported as useful tools for effective and successful surgical procedure in patients with large incisional hernias. [1][2][3] Both procedures are complementary to hernia repair, using no-strain mesh techniques that support patients integral management. 4,5 Botulinum toxin is a neuro-toxin made from bacteria after series of extensive cleaning, filtration and dilution steps.…”

Section: Introductionmentioning

confidence: 99%

The outcome of pre-operative botulinum toxin in the treatment of large incisional hernias

Sonawane

Chaudhari²

2022

Int Surg J

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Large incisional hernias with loss of domain represents a challenge for the surgeon. Pre-operative tools such as progressive pneumoperitoneum or botulinum toxin type A have been reported as useful tools for effective and successful surgical procedure in patients with large incisional hernias. Both the mentioned procedures are complementary to hernia repair, using no-strain mesh techniques that support patients’ integral management. The objective of current investigation was to assess the potential of pre-operative botulinum toxin in the treatment of large incisional hernias. Thirteen patients with large incisional hernias were investigated and examined for different parameters including diameters of the abdominal cavity and hernia sac, volume of the contents of incisional hernia and volume of the abdominal cavity which were calculated from CT scan. The current investigation was carried for a duration of two years from December 2020 and January 2022. After thorough clinical examination patients were operated for ventral incisional hernia repair. Eleven patients underwent complete repair of abdominal wall; one patient underwent mesh bridging and one patient required onlay repair. Botulinum toxin was observed to be a safe technique, which has good patient tolerance and can constitute as an effective preoperative tool in the treatment of large incisional hernia. This technique was observed to be aidful in significantly reducing the hernia content into the abdominal cavity, which in turn is an important factor in the treatment of large incisional hernia.

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The European Hernia Society Prehabilitation Project: a systematic review of patient prehabilitation prior to ventral hernia surgery

Cited by 19 publications

References 74 publications

The influence of a multidisciplinary team meeting and prehabilitation on complex abdominal wall hernia repair outcomes

The influence of a multidisciplinary team meeting and prehabilitation on complex abdominal wall hernia repair outcomes

The European Hernia Society Prehabilitation Project: A Systematic Review of Intra-Operative Prevention Strategies for Surgical Site Occurrences in Ventral Hernia Surgery

The outcome of pre-operative botulinum toxin in the treatment of large incisional hernias

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