ArticleHernia : the journal of hernias and abdominal wall surgery2026
Smoking cessation and weight loss before ventral hernia repair - can we really justify this? A single center cohort study.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Prehabilitation in Obese Patients with Ventral Hernia: A Narrative Review and Proposal of a Clinical Algorithm.Journal of clinical medicine · 2026Review
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSmoking and adiposity are risk factors for poor postoperative outcomes after hernia surgery. This study evaluated a real-world hospital-based prehabilitation program covering smoking cessation and weight loss prior to ventral hernia repair.
methodsIn this retrospective single-center cohort study, patients enrolled in a non-standardized smoking cessation or weight loss program prior to ventral hernia repair between June 2021 and December 2024 were included. Patients in the smoking cessation program were offered counseling and motivational interviews by nurse specialists. Patients in the weight loss program received the same in addition to a target weight and dietary guidance. Follow-up occurred every 2–8 weeks according to patient preference. Success was defined as cessation of smoking for ≥ 6 weeks or reaching target weight followed by ventral hernia repair.
resultsA total of 107 patients were identified: 12 (11.2%) participated in the smoking cessation program, 77 (72.0%) in the weight loss program, and 18 (16.8%) in both programs. Of these, 28 patients (26.2%) completed prehabilitation and underwent surgery, whereas 28 (26.2%) did not and remained in the program at the end of follow-up. A total of 27 (25.2%) patients dropped out, 14 (13.1%) were discontinued due to lack of progress, 8 (7.4%) were lost to follow-up, and 3 (2.8%) required emergency surgery. The median time from intervention to surgery was 325 days [IQR: 225.3, 496.5].
conclusionOnly one in four patients completed prehabilitation and underwent surgery. The program was resource-intensive, with substantial dropouts and failure rates. These results highlight the challenges associated with preoperative lifestyle modification prior to hernia surgery.
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