TY - JOUR
T1 - Preoperative risk reduction. Strategies to optimize outcomes.
AU - Martindale, Robert G.
AU - Deveney, Clifford W.
PY - 2013/10
Y1 - 2013/10
N2 - 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.
AB - 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.
KW - Hernia repair
KW - Intervention
KW - Obesity
KW - Perioperative morbidity
KW - Surgical site infection
UR - http://www.scopus.com/inward/record.url?scp=84883781562&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84883781562&partnerID=8YFLogxK
U2 - 10.1016/j.suc.2013.06.015
DO - 10.1016/j.suc.2013.06.015
M3 - Review article
C2 - 24035075
AN - SCOPUS:84883781562
SN - 0039-6109
VL - 93
SP - 1041
EP - 1055
JO - Surgical Clinics of North America
JF - Surgical Clinics of North America
IS - 5
ER -