Preoperative risk reduction. Strategies to optimize outcomes.

Research output: Contribution to journalReview article

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Abstract

The success of hernia repair is measured by absence of recurrence, appearance of the surgical scar, and perioperative morbidity. Perioperative surgical site occurrence (SSO), defined as infection, seroma, wound ischemia, and dehiscence, increases the risk of recurrent hernia by at least 3-fold. The surgeon should optimize all measures that promote healing, reduce infection, and enhance early postoperative recovery. In the population with ventral hernia, the most common complication in the immediate perioperative period is surgical site infection. This article reviews several preoperative measures that have been reported to decrease SSOs and shorten length of hospital stay.

Original languageEnglish (US)
Pages (from-to)1041-1055
Number of pages15
JournalSurgical Clinics of North America
Volume93
Issue number5
DOIs
StatePublished - Oct 1 2013

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Keywords

  • Hernia repair
  • Intervention
  • Obesity
  • Perioperative morbidity
  • Surgical site infection

ASJC Scopus subject areas

  • Surgery

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