Preoperative optimization in hernia surgery: are we really helping or are we just stalling?
Hernia
; 28(3): 925-930, 2024 Jun.
Article
in En
| MEDLINE
| ID: mdl-38578363
ABSTRACT
BACKGROUND:
Managing patients with abdominal wall hernias and multiple comorbidities can be challenging because these patients are at increased risk for postoperative complications. Preoperative optimization has been used to identify and intervene upon modifiable risk factors to improve hernia repair outcomes, however, waiting to achieve optimization may cause unnecessary delays.METHODS:
We describe our approach to preoperative optimization in hernia and we review the current evidence for preoperative optimization.CONCLUSION:
Modifying risk factors before undergoing elective hernia repair can improve the overall health of patients with multiple comorbidities. However, when considering the hernia-specific data, prolonging waiting times for patients to achieve full optimization is not justified. Surgeons should take a nuanced approach to balance achieving patient optimization without unnecessarily delaying surgical care.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Preoperative Care
/
Herniorrhaphy
Limits:
Humans
Language:
En
Journal:
Hernia
Journal subject:
GASTROENTEROLOGIA
Year:
2024
Type:
Article
Affiliation country:
United States