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Preoperative Considerations and Patient Optimization

  • Amber Shada
Chapter

Abstract

Inguinal hernia repair is one of the most commonly performed operations. There was a time when every inguinal hernia was repaired, due to its risk of eventual strangulation. However, the algorithm for treatment, particularly of minimally symptomatic hernias, has changed. Like many abdominal surgeries, outcome after inguinal hernia repair can be impacted by numerous patient factors. In this chapter, we will outline some of those factors and discuss modifiable risk factors to optimize patients prior to repair.

Keywords

Watchful waiting Modifiable risk factors Tobacco Obesity MRSA Optimization 

References

  1. 1.
    Schumpelick V, Treutner KH, Arlt G. Inguinal hernia repair in adults. Lancet. 1994;344(8919):375–9.CrossRefGoogle Scholar
  2. 2.
    Fitzgibbons RJ Jr, Giobbie-Hurder A, Gibbs JO, Dunlop DD, Reda DJ, McCarthy M Jr, et al. Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial. JAMA. 2006;295(3):285–92.CrossRefGoogle Scholar
  3. 3.
    Sarosi GA, Wei Y, Gibbs JO, Reda DJ, McCarthy M, Fitzgibbons RJ, et al. A clinician's guide to patient selection for watchful waiting management of inguinal hernia. Ann Surg. 2011;253(3):605–10.CrossRefGoogle Scholar
  4. 4.
    Hernandez-Irizarry R, Zendejas B, Ramirez T, Moreno M, Ali SM, Lohse CM, et al. Trends in emergent inguinal hernia surgery in Olmsted County, MN: a population-based study. Hernia. 2012;16(4):397–403.CrossRefGoogle Scholar
  5. 5.
    Sorensen LT. Wound healing and infection in surgery: the pathophysiological impact of smoking, smoking cessation, and nicotine replacement therapy: a systematic review. Ann Surg. 2012;255(6):1069–79.CrossRefGoogle Scholar
  6. 6.
    Monfrecola G, Riccio G, Savarese C, Posteraro G, Procaccini EM. The acute effect of smoking on cutaneous microcirculation blood flow in habitual smokers and nonsmokers. Dermatology. 1998;197(2):115–8.CrossRefGoogle Scholar
  7. 7.
    Lindstrom D, Sadr Azodi O, Wladis A, Tonnesen H, Linder S, Nasell H, et al. Effects of a perioperative smoking cessation intervention on postoperative complications: a randomized trial. Ann Surg. 2008;248(5):739–45.CrossRefGoogle Scholar
  8. 8.
    Sorensen LT, Friis E, Jorgensen T, Vennits B, Andersen BR, Rasmussen GI, et al. Smoking is a risk factor for recurrence of groin hernia. World J Surg. 2002;26(4):397–400.CrossRefGoogle Scholar
  9. 9.
    Burcharth J, Pommergaard HC, Bisgaard T, Rosenberg J. Patient-related risk factors for recurrence after inguinal hernia repair: a systematic review and meta-analysis of observational studies. Surg Innov. 2015;22(3):303–17.CrossRefGoogle Scholar
  10. 10.
    Lau B, Kim H, Haigh PI, Tejirian T. Obesity increases the odds of acquiring and incarcerating noninguinal abdominal wall hernias. Am Surg. 2012;78(10):1118–21.PubMedGoogle Scholar
  11. 11.
    Zendejas B, Hernandez-Irizarry R, Ramirez T, Lohse CM, Grossardt BR, Farley DR. Relationship between body mass index and the incidence of inguinal hernia repairs: a population-based study in Olmsted County, MN. Hernia: the journal of hernias and abdominal wall. Surgery. 2014;18(2):283–8.Google Scholar
  12. 12.
    Rosemar A, Angeras U, Rosengren A, Nordin P. Effect of body mass index on groin hernia surgery. Ann Surg. 2010;252(2):397–401.CrossRefGoogle Scholar
  13. 13.
    Willoughby AD, Lim RB, Lustik MB. Open versus laparoscopic unilateral inguinal hernia repairs: defining the ideal BMI to reduce complications. Surg Endosc. 2017;31(1):206–14.CrossRefGoogle Scholar
  14. 14.
    Ruhling V, Gunnarsson U, Dahlstrand U, Sandblom G. Wound healing following open groin hernia surgery: the impact of comorbidity. World J Surg. 2015;39(10):2392–9.CrossRefGoogle Scholar
  15. 15.
    Froylich D, Haskins IN, Aminian A, O’Rourke CP, Khorgami Z, Boules M, et al. Laparoscopic versus open inguinal hernia repair in patients with obesity: an American College of Surgeons NSQIP clinical outcomes analysis. Surg Endosc. 2017;31(3):1305–10.CrossRefGoogle Scholar
  16. 16.
    Dunne JR, Malone DL, Tracy JK, Napolitano LM. Abdominal wall hernias: risk factors for infection and resource utilization. J Surg Res. 2003;111(1):78–84.CrossRefGoogle Scholar
  17. 17.
    Latham R, Lancaster AD, Covington JF, Pirolo JS, Thomas CS Jr. The association of diabetes and glucose control with surgical-site infections among cardiothoracic surgery patients. Infect Control Hosp Epidemiol. 2001;22(10):607–12.CrossRefGoogle Scholar
  18. 18.
    Hellspong G, Gunnarsson U, Dahlstrand U, Sandblom G. Diabetes as a risk factor in patients undergoing groin hernia surgery. Langenbecks Arch Surg. 2017;402(2):219–25.CrossRefGoogle Scholar
  19. 19.
    Bode LG, Kluytmans JA, Wertheim HF, Bogaers D, Vandenbroucke-Grauls CM, Roosendaal R, et al. Preventing surgical-site infections in nasal carriers of Staphylococcus aureus. N Engl J Med. 2010;362(1):9–17.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA

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