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Abdominal muscle function and incisional hernia: a systematic review.

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Ventral incisional hernias (VIH) impact abdominal muscle function (AMF). Current research is limited, with no randomized controlled trials assessing surgical repair

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Area of Science:

  • Abdominal surgery
  • Hernia repair
  • Musculoskeletal function

Background:

  • Ventral incisional hernia (VIH) repair outcomes are typically measured by recurrence rates and quality of life.
  • Health-related quality of life may be significantly influenced by abdominal muscle function (AMF).

Purpose of the Study:

  • To evaluate the extent to which AMF is affected by VIH and its surgical repair.
  • To review existing literature on AMF in the context of VIH and surgical interventions.

Main Methods:

  • Systematic literature search conducted on PubMed and EMBASE databases.
  • Inclusion criteria followed a defined search strategy.

Main Results:

  • Seven studies were identified that described AMF in relation to VIH.
  • Five studies utilized objective isokinetic dynamometers for muscle strength assessment.
  • Two studies employed clinical examination-based muscle tests for AMF evaluation.

Conclusions:

  • While tests for AMF in VIH patients exist, few studies have evaluated AMF in this population.
  • There is a lack of randomized controlled studies examining the impact of VIH repair on AMF.
  • Optimal surgical treatment strategies for improving AMF post-VIH repair cannot be established currently.