Preoperative optimization in hernia surgery: are we really helping or are we just stalling?

Background Managing patients with abdominal wall hernias and multiple comorbidities can be challenging because these patients are at increased risk for postoperative complications. Preoperative optimization has been used to identify and intervene upon modifiable risk factors to improve hernia repair...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2024-06, Vol.28 (3), p.925-930
Main Authors: Fafaj, A., de Figueiredo, S. M. P., Rosen, M. J., Petro, C. C.
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Surgery
Abdominal wall
Body mass index
Clinics
Comorbidity
Complex Incisional Hernia
Complications
Exercise
Gastrointestinal surgery
Hernia
Hernia, Abdominal - surgery
Hernias
Herniorrhaphy
How-I-Do-It
Humans
Medicine
Medicine & Public Health
Morbidity
Obesity
Optimization
Patients
Physical fitness
Postoperative
Postoperative Complications - prevention & control
Preoperative Care - methods
Risk Factors
Surgeons
Surgical outcomes
Weight control
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Summary:Background Managing patients with abdominal wall hernias and multiple comorbidities can be challenging because these patients are at increased risk for postoperative complications. Preoperative optimization has been used to identify and intervene upon modifiable risk factors to improve hernia repair outcomes, however, waiting to achieve optimization may cause unnecessary delays. Methods We describe our approach to preoperative optimization in hernia and we review the current evidence for preoperative optimization. Conclusion Modifying risk factors before undergoing elective hernia repair can improve the overall health of patients with multiple comorbidities. However, when considering the hernia-specific data, prolonging waiting times for patients to achieve full optimization is not justified. Surgeons should take a nuanced approach to balance achieving patient optimization without unnecessarily delaying surgical care.
ISSN:1248-9204
1265-4906
1248-9204
DOI:10.1007/s10029-024-02962-9