Clinical Challenges in Hernia Surgery: Is Optimization Still Necessary for Hernia Surgery?

Join our Hernia Team for a review of the current controversy around preoperative optimization and the practical implications.
Hosts:

• Dr. Maggie Bosley - @MBosleyMD

• Dr. Sean Orenstein - @OrensteinSean

• Dr. Amber Sandoval

• Dr. Peter Ferrin

Institution: Oregon Health & Science University
References:
Adverse Events after Ventral Hernia Repair: The Vicious Cycle of Complications
pubmed.ncbi.nlm.nih.gov/26206646
Risk factors for postoperative wound infections and prolonged hospitalization after ventral/incisional hernia repair
pubmed.ncbi.nlm.nih.gov/24030572
lack of association between glycated hemoglobin and adverse outcomes in diabetic patients undergoing ventral hernia repair: an ACHQC study
pubmed.ncbi.nlm.nih.gov/35969297
Impact of preoperative haemoglobin A1c levels on postoperative outcomes in adults undergoing major noncardiac surgery: A systematic review
pubmed.ncbi.nlm.nih.gov/38853752
Does active smoking really matter before ventral hernia repair? An AHSQC analysis
pubmed.ncbi.nlm.nih.gov/30220485
Abstinence from smoking reduces incisional wound infection: a randomized controlled trial
pubmed.ncbi.nlm.nih.gov/12832959
The Association of Nicotine Replacement Therapy With Outcomes Among Smokers Hospitalized for a Major Surgical Procedure
pubmed.ncbi.nlm.nih.gov/31790653
Is weight trajectory a better marker of wound complication risk than BMI in hernia patients with obesity?
pubmed.ncbi.nlm.nih.gov/38082008
Gender, racial, and socioeconomic disparity of preoperative optimization goals in ventral hernia repair
pubmed.ncbi.nlm.nih.gov/37658198
Limited or Lasting: Is Preoperative Weight Loss as Part of Prehabilitation Maintained after Open Ventral Hernia Repair?
pubmed.ncbi.nlm.nih.gov/39907236
The impact of preoperative optimization for abdominal wall reconstruction on long-term glucose control and smoking cessation
pubmed.ncbi.nlm.nih.gov/40739418
Watchful waiting as a treatment strategy for patients with a ventral hernia appears to be safe
pubmed.ncbi.nlm.nih.gov/26838293
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