Enhanced recovery after surgical repair of incisional hernias
- 225 Downloads
Enhanced recovery programmes (ERPs) were developed to improve the patient’s post-operative comfort and reduce post-operative morbidity after several types of major surgery including the incisional hernia repair. The aim of this review was to describe the features of ERPs in the setting for incisional hernia repair.
The literature review was conducted until March 2019, but retrieved very few papers (n = 4) on this topic. All studies were retrospective.
Setting and comorbidities of incisional hernia patients are of such importance in many cases that prehabilitation (including tobacco use cessation, management of obesity, diabetes or malnutrition) should play a greater role compared with other specialties. The other peri-operative measures are similar to other specialties but their implementation was very heterogeneous in the published studies.
Like in other surgeries, ERPs were feasible and probably efficient to improve the post-operative course of incisional hernia patients. But the level of evidence remains low.
KeywordsIncisional hernia Enhanced recovery Surgery Prehabilitation
There is no funding.
Compliance with ethical standards
Conflict of interest
KS and DS declare no conflict of interest related to this paper.
This article does not contain any studies with human participants or animals performed by any of the authors.
For this type of study, formal consent is not required.
- 3.Fayezizadeh M, Petro CC, Rosen MJ, Novitsky YW (2014) Enhanced recovery after surgery pathway for abdominal wall reconstruction: pilot study and preliminary outcomes. Plast Reconstr Surg 34(4 Suppl 2):S151-9SGoogle Scholar
- 4.Slim K (2016) The benefits of enhanced recovery after surgery. J Visc Surg 153(6S):S41-4Google Scholar
- 6.Liang MK, Holihan JL, Itani K, Alawadi ZM, Gonzalez JR, Askenasy EP, Ballecer C, Chong HS, Goldblatt MI, Greenberg JA, Harvin JA, Keith JN, Martindale RG, Orenstein S, Richmond B, Roth JS, Szotek P, Towfigh S, Tsuda S, Vaziri K, Berger DH (2017) Ventral hernia management: expert consensus guided by systematic review. Ann Surg 265:80–89CrossRefGoogle Scholar
- 21.Maurice-Szamburski A, Auquier P, Viarre-Oreal V, Cuvillon P, Carles M, Ripart J, Honore S, Triglia T, Loundou A, Leone M, Bruder N, PremedX Study Investigators (2015) Effect of sedative premedication on patient experience after general anesthesia: a randomized clinical trial. JAMA 313:916–925CrossRefGoogle Scholar
- 35.Ireland CJ, Chapman TM, Mathew SF, Herbison GP, Zacharias M (2014) Continuous positive airway pressure (CPAP) during the postoperative period for prevention of postoperative morbidity and mortality following major abdominal surgery. Cochrane Database Syst Rev. 8:CD008930Google Scholar