Preoperative Optimization for Abdominal Wall Reconstruction

Surg Clin North Am. 2023 Oct;103(5):917-933. doi: 10.1016/j.suc.2023.04.022. Epub 2023 Jul 6.ABSTRACTPatients requiring abdominal wall reconstruction may have medical comorbidities and/or complex defects. Comorbidities such as smoking, diabetes, obesity, cirrhosis, and frailty have been associated with an increased risk of postoperative complications. Prehabilitation strategies are variably associated with improved outcomes. Large hernia defects and loss of domain may present challenges in achieving fascial closure, an important part of restoring abdominal wall function. Prehabilitation of the abdominal wall can be achieved with the use of botulinum toxin A, and preoperative progressive pneumoperitoneum.PMID:37709396 | DOI:10.1016/j.suc.2023.04.022
Source: The Surgical Clinics of North America - Category: Surgery Authors: Source Type: research