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Implementation of a prehabilitation program before abdominal wall surgery: a pilot and feasibility study

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Názov: Implementation of a prehabilitation program before abdominal wall surgery: a pilot and feasibility study
Autori: Gaëtan-Romain Joliat, Sonia Krouk, Eddy Cotte, Guillaume Passot
Zdroj: Hernia
Hernia, vol. 29, no. 1, pp. 138
Informácie o vydavateľovi: Springer Science and Business Media LLC, 2025.
Rok vydania: 2025
Predmety: Male, Humans, Female, Feasibility Studies, Middle Aged, Pilot Projects, Retrospective Studies, Preoperative Exercise, Aged, Abdominal Wall/surgery, Herniorrhaphy/rehabilitation, Patient Compliance/statistics & numerical data, Postoperative Complications/prevention & control, Hernia, Ventral/surgery, Hernia, Nutrition, Optimization, Physical activity, Preoperative conditioning, Abdominal Wall, Hernia, Ventral, Postoperative Complications, Patient Compliance, Original Article, Herniorrhaphy
Popis: Purpose Prehabilitation in abdominal wall surgery (AWS) might improve postoperative outcomes, but current data are scant. A prehabilitation program before AWS, including specific hypopressive abdominal exercises, was recently implemented in our department. This study aimed to present the characteristics of the implemented program and to assess the adherence rate to hypopressive abdominal exercises. Methods A retrospective study of all consecutive patients included in the pathway from October 2021 to October 2024 was performed. The multimodal prehabilitation program included nutritional support, physical activities (cardiorespiratory training, muscular strengthening, hypopressive abdominal exercises, and relaxation), and psychological support. Adherence rate was defined as the number of patients who performed the proposed abdominal exercises divided by the total number of included patients. Results A total of 103 patients were included (43% women, median age: 64, IQR 55–72, median body-mass index: 29 kg/m2, IQR 26–33). Most of them had a midline hernia (n = 79, 77%) and underwent a retromuscular mesh repair (n = 93, 90%). Ninety-six patients were adherent to the hypopressive abdominal exercises (adherence rate: 93%). Obese patients had a significantly lower adherence rate to hypopressive abdominal exercises than non-obese patients (29/34 = 85% vs. 67/69 = 97%, p = 0.025). Median length of hospital stay was 3 days (IQR 2–5) and postoperative complications occurred in 29 patients (28%). Conclusion The implementation of a prehabilitation program in AWS was feasible. Moreover, adherence to the hypopressive abdominal exercises was high. Obese patients might require more attention to improve their adherence to the program.
Druh dokumentu: Article
Other literature type
Popis súboru: application/pdf
Jazyk: English
ISSN: 1248-9204
DOI: 10.1007/s10029-025-03325-8
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/40198418
https://serval.unil.ch/resource/serval:BIB_18ED3225F353.P001/REF.pdf
http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_18ED3225F3536
https://serval.unil.ch/notice/serval:BIB_18ED3225F353
Rights: CC BY
Prístupové číslo: edsair.doi.dedup.....afd35769baf62f4596ab8a53f8a77e52
Databáza: OpenAIRE
Popis
Abstrakt:Purpose Prehabilitation in abdominal wall surgery (AWS) might improve postoperative outcomes, but current data are scant. A prehabilitation program before AWS, including specific hypopressive abdominal exercises, was recently implemented in our department. This study aimed to present the characteristics of the implemented program and to assess the adherence rate to hypopressive abdominal exercises. Methods A retrospective study of all consecutive patients included in the pathway from October 2021 to October 2024 was performed. The multimodal prehabilitation program included nutritional support, physical activities (cardiorespiratory training, muscular strengthening, hypopressive abdominal exercises, and relaxation), and psychological support. Adherence rate was defined as the number of patients who performed the proposed abdominal exercises divided by the total number of included patients. Results A total of 103 patients were included (43% women, median age: 64, IQR 55–72, median body-mass index: 29 kg/m2, IQR 26–33). Most of them had a midline hernia (n = 79, 77%) and underwent a retromuscular mesh repair (n = 93, 90%). Ninety-six patients were adherent to the hypopressive abdominal exercises (adherence rate: 93%). Obese patients had a significantly lower adherence rate to hypopressive abdominal exercises than non-obese patients (29/34 = 85% vs. 67/69 = 97%, p = 0.025). Median length of hospital stay was 3 days (IQR 2–5) and postoperative complications occurred in 29 patients (28%). Conclusion The implementation of a prehabilitation program in AWS was feasible. Moreover, adherence to the hypopressive abdominal exercises was high. Obese patients might require more attention to improve their adherence to the program.
ISSN:12489204
DOI:10.1007/s10029-025-03325-8