Abdominal wall reconstruction: Enhancing patients’ outcomes with ventral incisional hernias.
The reason as to why I have chosen the topic is that the aspect of ventral incisional hernia (VIH) has been popular, and the claims are moving at an alarming rate. Therefore, there is much need especially in the United States of America resulting to readmission of patients. It has been noted that the readmission of patients to a greater extent leads to high medical cost because of unplanned surgeries, untoward events. Looking deep into the aspects of hernia recurrence and hospital readmission we find that it is associated with surgical management of patients suffering from ventral incision hernia (VIH). Statistics has it that approximately 350,000 repairs are undertaken in the United States of America annually.
A good number of patients suffering from VIHs are associated with some underlying comorbidities incorporating obesity, diabetes mellitus (DM) and cardiopulmonary disease. It is also noted that patients with VIHs are at higher risk due to the increased incidence such as surgical site occurrence (SSO) inclusive of surgical site infection (SSI), wound dehiscence, seroma and enterocutaneous fistulae at the site of repair.
As a result, there are various strategies in place to help solve the current situation and these are the Preoperative optimization, postoperative care and intraoperative technical innovations which to some extent are anticipated to enhance surgical outcomes from abdominal wall reconstruction (AWR). From the implementation of these strategies, we come to note that the adverse effects such as readmission to hospitals are curbed leading to less expense.
Clark, J. L. (2001). Ventral incisional hernia recurrence. Journal of Surgical Research, 99(1), 33-39.
Nahabedian, M. Y., & Nahabedian, A. G. (2016). Abdominal wall reconstruction: Enhancing outcomes for patients with ventral incisional hernias. Nursing2015, 46(2), 30-38.