Preoperative Planning and Patient Optimization.

Clayton C Petro, Ajita S Prabhu

Journal: The Surgical clinics of North America 2018;98(3):483-497

PMID: 29754618

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Abstract

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.

Address: Department of Surgery, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.; Department of Surgery, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address: [email protected].

DOI: 10.1016/j.suc.2018.01.005

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MeSH Terms: Clinical Decision-Making, Hernia, Ventral, Herniorrhaphy, Humans, Patient Care Planning, Patient Participation, Patient Selection, Postoperative Complications, Preoperative Care