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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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 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
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
Abstract The purpose of our study was to evaluate the rate of ventral hernia repair (VHR) after open abdominal aortic anneurysm in New York State compared with the rate of VHR after open abdominal aortic bypass procedures. The Statewide Planning and Research Cooperative System database was queried for all abdominal aortic aneurysm (AAA) and bypass procedures performed between 2000 and 2010. Social security death index was used to identify patients who died. The cause-specific Cox proportional hazard model was applied to compare the risk of having follow-up VHR between patients with AAA and bypass with death as a c...
Source: The American Surgeon - Category: Surgery Authors: Tags: Am Surg 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
AbstractPurposeSarcopenia, or  loss of muscle mass, is associated with increased morbidity and mortality in oncologic resections and several other major surgeries. Complex ventral hernia repairs (VHRs) and abdominal wall reconstruction are often performed in patients at high risk for morbidity and recurrence, though limited dat a exist on outcomes related to sarcopenia. We aimed to determine if sarcopenia is associated with worse outcomes in patients undergoing VHR.MethodsWe reviewed patients undergoing VHRs from 2014 to 2015. Preoperative CT images were analyzed for cross-sectional muscle mass. Patients with and with...
Source: Hernia - Category: Sports Medicine Source Type: research
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.
Source: Surgical Clinics of North America - Category: Surgery Authors: Source Type: research
Conclusions The risk factors associated with developing complications are higher BMI, longer operating time, larger mesh size, larger hernia size, component separation, use of biologic mesh, chronic obstructive pulmonary disease, and intestinal violation. The use of negative-pressure wound therapy decreased complication rates, and patients with a previous hernia repair seemed to benefit the most from having a combined VHR/PAN. However, when compared with previous reports of VHR alone, VHR/PAN does seem to increase wound complications and reoperation rates.
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research
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