Preoperative Planning and Patient Optimization.

This article reviews the literature that supports routine expectations for smoking cessation; weight loss; diabetic, nutritional, or metabolic optimization; and decolonization techniques before ventral hernia repair. These methods diminish postoperative complications. In an era of value-centric care, an upfront investment in patient optimization can improve the quality of the repair by reducing wound morbidity and hernia recurrence, naturally translating to a reduction in cost. The adoption of these practices and further study aimed at identifying other effective optimization techniques are encouraged. PMID: 29754618 [PubMed - in process]
Source: The Surgical Clinics of North America - Category: Surgery Authors: Tags: Surg Clin North Am Source Type: research

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We aimed to assess the impact of modifiable comorbidities —obesity, diabetes, and smoking—and their aggregate effect on wound complications after incisional hernia repair.
Source: Surgery - Category: Surgery Authors: Source Type: research
ConclusionSynchronous VHR and BS in a bariatric unit is feasible with low recurrence rate. Laparoscopic VHR has lower complication rates than open, apart from seroma formation. Patients with diabetes have higher risk of infection.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionsDue to their high costs, biological mesh should not be used in G1 patients. In infected fields (G4), they should only be used if no other surgical solution is feasible. There is a clear need to prospectively evaluate the performance of biological meshes.
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionsDiabetes mellitus was an independent risk factor of postoperative complications for IGH, along with COPD, intestinal necrosis and general anesthesia associated with incisional complications. The use of polypropylene mesh did not increase infection or recurrence rate in this cohort.
Source: Hernia - Category: Sports Medicine Source Type: research
Patients with obesity have a higher incidence of ventral hernias and are at greater risk of developing complications after hernia repair [1,2]. These complications include a higher risk of recurrence, wound infection, wound breakdown, and venous thromboembolic episodes. The elevated intra-abdominal pressure, increased abdominal circumference, and visceral fat may play a role, as might the association of obesity with type 2 diabetes.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Paired editorial Source Type: research
Patients with obesity have a higher incidence of ventral hernias and are at greater risk of developing complications after hernia repair (1,2). These include a higher risk of recurrence, wound infection, wound breakdown and venous thromboembolic episodes. The elevated intra-abdominal pressure, increased abdominal circumference and visceral fat may play a role as does the association of obesity with type 2 diabetes.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Patients with obesity have a higher incidence of ventral hernias and are at greater risk of developing complications after hernia repair [1,2]. These complications include a higher risk of recurrence, wound infection, wound breakdown, and venous thromboembolic episodes. The elevated intra-abdominal pressure, increased abdominal circumference, and visceral fat may play a role, as might the association of obesity with type 2 diabetes.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Paired Editorial Source Type: research
We aim to assess the impact of modifiable comorbidities (MCM): obesity, diabetes and smoking, and their aggregate effect on wound complications after ventral hernia repair (VHR).
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Scientific poster presentations Source Type: research
ConclusionTedizolid phosphate 200  mg for 7–14 days was a favored treatment option for patients with severe/complex ABSSSIs, and was effective following previous treatment failure or in late-onset infections.FundingEditorial assistance and the article processing charges were funded by Bayer AG, Berlin, Germany.
Source: Infectious Diseases and Therapy - Category: Infectious Diseases Source Type: research
ConclusionsRecurrence can occur at any stage following inguinal hernia surgery. Patients ’ risk factors such as higher BMI, smoking, diabetes and postoperative surgical site infections increase the risk of recurrence and can be modified. Amongst the surgical factors, surgeon’s experience, larger mesh with better tissue overlap and careful surgical techniques to reduce the incidence of seroma or hematoma help reduce the recurrence rate. Other factors including type of mesh and fixation of mesh have not shown any difference in the incidence of recurrence. It is hoped that future randomized controlled trials will ...
Source: Hernia - Category: Sports Medicine Source Type: research
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