The European Hernia Society Prehabilitation Project: a systematic review of patient prehabilitation prior to ventral hernia surgery.

K K Jensen, B East, B Jisova, M López Cano, G Cavallaro, L N Jørgensen, V Rodrigues, C Stabilini, D Wouters, F Berrevoet

Journal: Hernia : the journal of hernias and abdominal wall surgery 2022;26(3):715-726

PMID: 35212807

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Abstract

BACKGROUND

Ventral hernia repair is one of the most commonly performed surgical procedures worldwide. To reduce the risk of complications, patient prehabilitation has received increasing focus in recent years. To assess prehabilitation measures, this European Hernia Society endorsed project was launched. The aim of this systematic review was to evaluate the current literature on patient prehabilitation prior to ventral hernia repair.

METHODS

The strategies examined were optimization of renal disease, obesity, nutrition, physical exercise, COPD, diabetes and smoking cessation. For each topic, a separate literature search was conducted, allowing for seven different sub-reviews.

RESULTS

A limited amount of well-conducted research studies evaluating prehabilitation prior to ventral hernia surgery was found. The primary findings showed that smoking cessation and weight loss for obese patients led to reduced risks of complications after abdominal wall reconstruction.

CONCLUSION

Prehabilitation prior to ventral hernia repair may be widely used; however, the literature supporting its use is limited. Future studies evaluating the impact of prehabilitation before ventral hernia surgery are warranted.

Address: Digestive Disease Center, Bispebjerg University Hospital, Bispebjerg Bakke 23, 2400, Copenhagen, NV, Denmark. [email protected].; 3rd Department of Surgery and 1st Medical Faculty of Charles University, Motol University Hospital, Prague, Czech Republic.; Abdominal Wall Surgery Unit, Department of General Surgery, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.; Department of Surgery "P. Valdoni", Sapienza University, Rome, Italy.; Digestive Disease Center, Bispebjerg University Hospital, Bispebjerg Bakke 23, 2400, Copenhagen, NV, Denmark.; Department of Surgery, University of Genoa, Genoa, Italy.; Ospedale Policlinico San Martino IRCCS, Genoa, Italy.; Department for General and HPB Surgery and Liver Transplantation, University Hospital Gent, Gent, Belgium.

DOI: 10.1007/s10029-022-02573-2

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https://doi.org/10.1007/s10029-022-02573-2

MeSH Terms: Exercise, Hernia, Ventral, Herniorrhaphy, Humans, Obesity, Postoperative Complications, Preoperative Care, Preoperative Exercise