Bibliographic Details
| Title: |
Pre-habilitación en cirugía de hernias complejas: protocolo de un hospital académico. |
| Alternate Title: |
Pre-habilitation in complex hernia surgery: protocol of an academic hospital. |
| Authors: |
González A., Tomás1, Cruz M., Enrique1, Sapiain G., Sebastián1, Adjemian G., Daniela1, Penna S., Antonello1, Díaz J., Ramón1 rdiazjara@gmail.com |
| Source: |
Revista de Cirugia. 2025, Vol. 77 Issue 3, p320-327. 8p. |
| Abstract (English): |
Complex ventral hernias represent a significant technical and logistical challenge due to high morbidity and associated comorbidities, such as diabetes, obesity and sarcopenia. These patients usually present a significant decrease in their quality of life and functional capacity, which limits their baseline conditions and compromises their postoperative prognosis. In this context, pre-habilitation has emerged as a promising multidisciplinary strategy that aims to optimize modifiable risk factors, integrating interventions in physical conditioning, nutritional support and smoking cessation. This strategy reduces postoperative complications and facilitates early functional recovery, promoting effective and early reintegration. This local protocol, developed in an academic hospital, describes a standardization of comprehensive and collaborative preoperative management, involving surgical, anesthesiology, nutrition and physical therapy teams. In the pre-admission period, the patient undergoes a surgical, nutritional, anesthetic and physical evaluation. During the preoperative period, priority is given to nutritional optimization and physical conditioning. Intraoperatively, the protocol details the surgical and anesthetic approach to ensure adequate closure of the hernial defect. Finally, postoperative recovery is described with a program of physical therapy, early nutrition, analgesic management, and thromboembolic disease prophylaxis. The present protocol aims to standardize the management of patients with complex hernias through an evidence-based approach, promoting optimal surgical results, reducing complications and improving the patient’s quality of life after surgery. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Las hernias ventrales complejas representan un desafío técnico y logístico significativo debido a la alta morbilidad y comorbilidades asociadas, como diabetes, obesidad y sarcopenia. Estos pacientes suelen presentar una disminución importante en su calidad de vida y capacidad funcional, lo cual limita sus condiciones basales y compromete su pronóstico posoperatorio. En este contexto, la pre-habilitación ha emergido como una estrategia multidisciplinaria prometedora que busca optimizar factores de riesgo modificables, integrando intervenciones en acondicionamiento físico, soporte nutricional y cese de hábitos como el tabaquismo. Esta estrategia reduce las complicaciones posoperatorias y facilita una recuperación funcional temprana, promoviendo una reintegración efectiva y precoz. Este protocolo local, desarrollado en un hospital académico, propone una estandarización del manejo preoperatorio integral y colaborativo, involucrando equipos de cirugía, anestesiología, nutrición y kinesiología. En el período de preadmisión, el paciente es sometido a una evaluación quirúrgica, nutricional, anestésica y física. Durante el preoperatorio, se prioriza la optimización nutricional y el acondicionamiento físico. En el intraoperatorio, el protocolo detalla el enfoque quirúrgico y anestésico, con el objetivo de asegurar un adecuado cierre del defecto herniario. Finalmente, en el posoperatorio se describe la recuperación con un programa de kinesioterapia, nutrición precoz, manejo analgésico, y profilaxis de enfermedad tromboembólica. El presente protocolo busca estandarizar el manejo de pacientes con hernias complejas mediante un enfoque basado en evidencia, promoviendo resultados quirúrgicos óptimos, reduciendo complicaciones y mejorando la calidad de vida del paciente tras la intervención. [ABSTRACT FROM AUTHOR] |
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Copyright of Revista de Cirugia is the property of Sociedad de Cirujanos de Chile and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
MedicLatina |
