Can I read Prehabilitation of complex ventral hernia patients with Botulinum: a systematic review of the quantifiable effects of Botulinum on EtoBox?
Prehabilitation of complex ventral hernia patients with Botulinum: a systematic review of the quantifiable effects of Botulinum by J. A. Wegdam; T. S. de Vries Reilingh; N. D. Bouvy; S. W. Nienhuijs is a Medicine article available to read on EtoBox.
What is Prehabilitation of complex ventral hernia patients with Botulinum: a systematic review of the quantifiable effects of Botulinum about?
## Purpose: Complex ventral hernia repair (cvhr) encompasses patient optimization, primary fascial closure (pfc), mesh reinforcement and component separation technique (cst), if needed. high rates of complications after cst are still reported. prehabilitation by managing pre-operative modifiable risk factors, like abdominal wall compliance, possibly reduces these rates. compliance can be modified by intramuscular injection of botulinum in the lateral abdominal wall muscles (lawm). paralysis leads to elongation of these muscles, which may facilitate pfc and/or prevent cst. evidence to use botulinum in hernia patients is scarce and fragmented. an update of evidence for the effect of botulinum is presented. ## Methods: A multi-database search was conducted for botulinum studies in ventral hernia patients. a systematic review was performed to describe its primary effect on compliance (lawm elongation) and secondary effects like pfc ± cst rate, complications and recurrence. ## Results: 14 studies were included (377 patients) with a hdw of median 12 (10-15) cm. a typical intervention consisted of 200-300 u botulinum in 3 points per hemi-abdomen under us guidance, > 2 weeks pre-operativel
Who reads Prehabilitation of complex ventral hernia patients with Botulinum: a systematic review of the quantifiable effects of Botulinum?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- J. A. Wegdam; T. S. de Vries Reilingh; N. D. Bouvy; S. W. Nienhuijs
- Publisher
- Springer; Springer-Verlag; Springer Verlag; Springer Science and Business Media LLC (ISSN 1265-4906)
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)