NYMC Faculty Publications


Minimizing Postoperative Complications by Preoperative Optimization

Document Type

Book Chapter

Publication Date





Significant advances have been made in the management of medical and surgical conditions of critically injured patients; these advances have led to improved survival and reduced morbidity. However, the practicing surgeon when faced with the management of the open abdomen and large abdominal wall defects that require major reconstruction needs to be able to provide preoperative care that would ensure optimal operative outcomes. A multidisciplinary and systematic approach should be undertaken by all members involved in the operative management of the patients. This chapter focuses on the multidisciplinary approach and measures to take into consideration in the preoperative optimization of complex cases, which are frequently associated with complications, high rate of hernia recurrence requiring multiple procedures, and mortality.