Complex abdominal wall reconstruction: A novel approach to postoperative care using physical medicine and rehabilitation

Ronnie A. Pezeshk, Benson J. Pulikkottil, Steven Mapula, Nathaniel E. Schaffer, Lori Yap, Kelly Scott, Patricia Gordon, Ronald E. Hoxworth

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Abdominal wall defects remain a significant cause of morbidity and mortality in the United States. Postoperative rehabilitation programs have been used consistently in many surgical subspecialties with exceptional results. Such programs have proven to decrease the total time patients require to resume daily activities. The authors describe a systematic rehabilitation protocol developed with the physical medicine and rehabilitation department that has significantly decreased recurrence rates in patients undergoing complex abdominal wall reconstruction. Methods: A retrospective analysis was carried out on patients presenting for open repair of an abdominal wall defect performed by a single surgeon. Over a 5-year period, there were 275 consecutive patients divided into two similar groups: one group consisted of 137 patients that received abdominal wall rehabilitation; a second group of 138 patients did not. Patient demographics including body mass index, number of hernia defects, number of previous repairs/abdominal operations, defect size, operative time, blood loss, and postoperative complications including recurrence were collected. Results: Patients enrolled in the abdominal wall rehabilitation program were found to have fewer recurrences at follow-up, with statistical significance compared with those that were not enrolled in the program. Conclusions: The implementation of the abdominal wall rehabilitation program has resulted in a decrease in recurrence rates following complex abdominal wall hernia repair and reconstruction. This is an innovative system that uses rehabilitation and physical therapy to enhance the psychosocial and occupational status of patients by improving recurrence rates.

Original languageEnglish (US)
Pages (from-to)362e-369e
JournalPlastic and Reconstructive Surgery
Volume136
Issue number3
DOIs
StatePublished - Sep 8 2015

Fingerprint

Physical and Rehabilitation Medicine
Postoperative Care
Abdominal Wall
Rehabilitation
Recurrence
Abdominal Hernia
Herniorrhaphy
Operative Time
Hernia
Body Mass Index
Demography
Morbidity
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Complex abdominal wall reconstruction : A novel approach to postoperative care using physical medicine and rehabilitation. / Pezeshk, Ronnie A.; Pulikkottil, Benson J.; Mapula, Steven; Schaffer, Nathaniel E.; Yap, Lori; Scott, Kelly; Gordon, Patricia; Hoxworth, Ronald E.

In: Plastic and Reconstructive Surgery, Vol. 136, No. 3, 08.09.2015, p. 362e-369e.

Research output: Contribution to journalArticle

Pezeshk, Ronnie A. ; Pulikkottil, Benson J. ; Mapula, Steven ; Schaffer, Nathaniel E. ; Yap, Lori ; Scott, Kelly ; Gordon, Patricia ; Hoxworth, Ronald E. / Complex abdominal wall reconstruction : A novel approach to postoperative care using physical medicine and rehabilitation. In: Plastic and Reconstructive Surgery. 2015 ; Vol. 136, No. 3. pp. 362e-369e.
@article{b8bad1d5c5a94ad890d05b13c50ca217,
title = "Complex abdominal wall reconstruction: A novel approach to postoperative care using physical medicine and rehabilitation",
abstract = "Background: Abdominal wall defects remain a significant cause of morbidity and mortality in the United States. Postoperative rehabilitation programs have been used consistently in many surgical subspecialties with exceptional results. Such programs have proven to decrease the total time patients require to resume daily activities. The authors describe a systematic rehabilitation protocol developed with the physical medicine and rehabilitation department that has significantly decreased recurrence rates in patients undergoing complex abdominal wall reconstruction. Methods: A retrospective analysis was carried out on patients presenting for open repair of an abdominal wall defect performed by a single surgeon. Over a 5-year period, there were 275 consecutive patients divided into two similar groups: one group consisted of 137 patients that received abdominal wall rehabilitation; a second group of 138 patients did not. Patient demographics including body mass index, number of hernia defects, number of previous repairs/abdominal operations, defect size, operative time, blood loss, and postoperative complications including recurrence were collected. Results: Patients enrolled in the abdominal wall rehabilitation program were found to have fewer recurrences at follow-up, with statistical significance compared with those that were not enrolled in the program. Conclusions: The implementation of the abdominal wall rehabilitation program has resulted in a decrease in recurrence rates following complex abdominal wall hernia repair and reconstruction. This is an innovative system that uses rehabilitation and physical therapy to enhance the psychosocial and occupational status of patients by improving recurrence rates.",
author = "Pezeshk, {Ronnie A.} and Pulikkottil, {Benson J.} and Steven Mapula and Schaffer, {Nathaniel E.} and Lori Yap and Kelly Scott and Patricia Gordon and Hoxworth, {Ronald E.}",
year = "2015",
month = "9",
day = "8",
doi = "10.1097/PRS.0000000000001532",
language = "English (US)",
volume = "136",
pages = "362e--369e",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Complex abdominal wall reconstruction

T2 - A novel approach to postoperative care using physical medicine and rehabilitation

AU - Pezeshk, Ronnie A.

AU - Pulikkottil, Benson J.

AU - Mapula, Steven

AU - Schaffer, Nathaniel E.

AU - Yap, Lori

AU - Scott, Kelly

AU - Gordon, Patricia

AU - Hoxworth, Ronald E.

PY - 2015/9/8

Y1 - 2015/9/8

N2 - Background: Abdominal wall defects remain a significant cause of morbidity and mortality in the United States. Postoperative rehabilitation programs have been used consistently in many surgical subspecialties with exceptional results. Such programs have proven to decrease the total time patients require to resume daily activities. The authors describe a systematic rehabilitation protocol developed with the physical medicine and rehabilitation department that has significantly decreased recurrence rates in patients undergoing complex abdominal wall reconstruction. Methods: A retrospective analysis was carried out on patients presenting for open repair of an abdominal wall defect performed by a single surgeon. Over a 5-year period, there were 275 consecutive patients divided into two similar groups: one group consisted of 137 patients that received abdominal wall rehabilitation; a second group of 138 patients did not. Patient demographics including body mass index, number of hernia defects, number of previous repairs/abdominal operations, defect size, operative time, blood loss, and postoperative complications including recurrence were collected. Results: Patients enrolled in the abdominal wall rehabilitation program were found to have fewer recurrences at follow-up, with statistical significance compared with those that were not enrolled in the program. Conclusions: The implementation of the abdominal wall rehabilitation program has resulted in a decrease in recurrence rates following complex abdominal wall hernia repair and reconstruction. This is an innovative system that uses rehabilitation and physical therapy to enhance the psychosocial and occupational status of patients by improving recurrence rates.

AB - Background: Abdominal wall defects remain a significant cause of morbidity and mortality in the United States. Postoperative rehabilitation programs have been used consistently in many surgical subspecialties with exceptional results. Such programs have proven to decrease the total time patients require to resume daily activities. The authors describe a systematic rehabilitation protocol developed with the physical medicine and rehabilitation department that has significantly decreased recurrence rates in patients undergoing complex abdominal wall reconstruction. Methods: A retrospective analysis was carried out on patients presenting for open repair of an abdominal wall defect performed by a single surgeon. Over a 5-year period, there were 275 consecutive patients divided into two similar groups: one group consisted of 137 patients that received abdominal wall rehabilitation; a second group of 138 patients did not. Patient demographics including body mass index, number of hernia defects, number of previous repairs/abdominal operations, defect size, operative time, blood loss, and postoperative complications including recurrence were collected. Results: Patients enrolled in the abdominal wall rehabilitation program were found to have fewer recurrences at follow-up, with statistical significance compared with those that were not enrolled in the program. Conclusions: The implementation of the abdominal wall rehabilitation program has resulted in a decrease in recurrence rates following complex abdominal wall hernia repair and reconstruction. This is an innovative system that uses rehabilitation and physical therapy to enhance the psychosocial and occupational status of patients by improving recurrence rates.

UR - http://www.scopus.com/inward/record.url?scp=84940977368&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84940977368&partnerID=8YFLogxK

U2 - 10.1097/PRS.0000000000001532

DO - 10.1097/PRS.0000000000001532

M3 - Article

C2 - 26313841

AN - SCOPUS:84940977368

VL - 136

SP - 362e-369e

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 3

ER -