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

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.

Original languageEnglish
JournalHernia : the journal of hernias and abdominal wall surgery
Volume26
Issue number3
Pages (from-to)715-726
Number of pages12
ISSN1265-4906
DOIs
Publication statusPublished - Jun 2022

Keywords

  • Exercise
  • Hernia, Ventral/surgery
  • Herniorrhaphy/adverse effects
  • Humans
  • Obesity
  • Postoperative Complications/etiology
  • Preoperative Care/methods
  • Preoperative Exercise

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