ArticleHernia : the journal of hernias and abdominal wall surgery2025
Obesity-focused prehabilitation strategies in ventral hernia: Cohort study.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Prehabilitation in Obese Patients with Ventral Hernia: A Narrative Review and Proposal of a Clinical Algorithm.Journal of clinical medicine · 2026Review
- From Elective to Emergent: The Clinical Consequences of Delayed Umbilical Hernia Repair.Cureus · 2026Article
- The prehabilitation paradox in ventral hernia: from universal to personalized care.Hernia : the journal of hernias and abdominal wall surgery · 2026Review
- The impact of a preoperative rehabilitation program on weight loss, surgical decision-making, and postoperative weight maintenance in a hernia center.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- The Endoscopic Optimization for Obesity in Patients Undergoing Abdominal Wall Reconstruction.Journal of abdominal wall surgery : JAWS · 2025Article
- Simultaneous Abdominal Wall Reconstruction and Panniculectomy in High-Risk Complex Patients: A Retrospective Cohort Study.Journal of abdominal wall surgery : JAWS · 2025Article
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6 authors.
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Abstract
purposeObesity increases the risk of complications and technical difficulty in ventral hernia repair. Preoperative weight loss is recommended to mitigate these risks, but the implementation of different strategies in routine practice remains poorly described. This study aimed to characterize the use of dietary counseling, pharmacotherapy, and bariatric surgery within a structured optimization pathway and provide preliminary insights into surgical outcomes in obese versus non-obese patients.
methodsIn this retrospective, single-center study, obese patients with ventral hernia were managed with dietary counseling, pharmacotherapy, or bariatric surgery between April 2018 and April 2023. We evaluated implementation, weight loss achieved, eligibility for elective repair, and adherence. Surgical outcomes were descriptively analyzed in obese patients with and without preoperative weight loss and compared to non-obese patients.
resultsOf 175 obese patients, 148 (84.6%) received dietary counseling, 15 (8.6%) pharmacotherapy, and 12 (6.8%) bariatric surgery. Median weight loss was highest after bariatric surgery (20.7%), followed by dietary counseling (4.6%) and pharmacotherapy (4.4%). Surgical eligibility rates were 83%, 44%, and 13%, respectively. Among 165 patients who underwent hernia repair, postoperative complications were more frequent in obese patients, regardless of preoperative weight loss, than in non-obese patients. Recurrence was numerically higher in patients without preoperative weight loss, though not statistically significant.
conclusionA structured optimization pathway facilitated the use of diverse weight loss strategies before hernia repair in obese patients. Bariatric surgery achieved the greatest weight loss and eligibility. However, complications remained common, underscoring the need for individualized, multidisciplinary prehabilitation strategies.
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