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Preoperative Planning and Patient Optimization.

Clayton C Petro1, Ajita S Prabhu1

  • 1Department of Surgery, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

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|May 15, 2018
PubMed
Summary
This summary is machine-generated.

Optimizing patients before ventral hernia repair through smoking cessation, weight loss, and metabolic control reduces complications and recurrence. This improves repair quality and lowers healthcare costs.

Keywords:
Modifiable risk factorsPreoperative patient optimizationVentral hernia repair

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Area of Science:

  • Surgical optimization
  • Hernia repair outcomes
  • Value-based care

Background:

  • Ventral hernia repair is common.
  • Postoperative complications and recurrence impact outcomes and costs.
  • Patient optimization strategies are increasingly important.

Purpose of the Study:

  • To review the literature supporting pre-operative optimization for ventral hernia repair.
  • To highlight the benefits of patient optimization in reducing complications and recurrence.
  • To advocate for the adoption of these practices in value-centric care.

Main Methods:

  • Literature review of studies on pre-operative interventions.
  • Analysis of evidence supporting smoking cessation, weight loss, metabolic optimization, and decolonization.
  • Synthesis of data on the impact of these interventions on postoperative outcomes.

Main Results:

  • Pre-operative optimization significantly diminishes postoperative complications.
  • These strategies reduce wound morbidity and hernia recurrence rates.
  • Patient optimization leads to improved repair quality and cost reduction.

Conclusions:

  • Routine pre-operative optimization is recommended before ventral hernia repair.
  • Investing in patient optimization enhances surgical outcomes and reduces healthcare expenditure.
  • Further research into additional optimization techniques is encouraged.