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Preoperative Optimization and Enhanced Recovery Protocols in Ventral Hernia Repair

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Textbook of Hernia

Abstract

Large or complex ventral hernias remain a challenging endeavor with potential for high rates of morbidity. In an effort to maximize outcomes, pre- and perioperative management strategies have been developed to reduce wound and other patient complications, in addition to reducing hernia recurrence. While technical factors for ventral hernia repair (VHR) such as surgical technique and mesh selection are modifiable factors during the operation itself, optimizing the patient prior to surgery and immediately following VHR can provide substantial benefit to the patient with the ultimate goal of providing a safe and durable hernia repair.

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Authors and Affiliations

  1. Department of Surgery, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, L223A, Portland, OR, 97239, USA

    Sean B. Orenstein M.D. & Robert G. Martindale M.D. Ph.D.

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  1. Sean B. Orenstein M.D.
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  2. Robert G. Martindale M.D. Ph.D.
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Correspondence to Sean B. Orenstein M.D. .

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  1. Department of Surgery, New Hanover Regional Medical Center, Wilmington, North Carolina, USA

    William W. Hope

  2. USC School of Medicine-Greenville, Greenville Health System, Greenville, North Carolina, USA

    William S. Cobb

  3. Johns Hopkins Hospital, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

    Gina L. Adrales

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Orenstein, S.B., Martindale, R.G. (2017). Preoperative Optimization and Enhanced Recovery Protocols in Ventral Hernia Repair. In: Hope, W., Cobb, W., Adrales, G. (eds) Textbook of Hernia. Springer, Cham. https://doi.org/10.1007/978-3-319-43045-4_27

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