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Two-year outcomes of prehabilitation among obese patients with ventral hernias. A randomized controlled trial (NCT02365194).

Bernardi K, Olavarria OA, Dhanani NH, Lyons N, Holihan JL, Cherla DV et al.
Ann Surgery 2022; 275: 288-294.

All obese patients with a ventral hernia were offered surgery once they had lost 7 per cent of their body weight, or had no weight gain after six months. The addition of a prehabilitation programme did not reduce the rate of perioperative complications (10.2 versus 9.1 per cent, P=0.4), or increase the number of hernia-free patients after two years: 72.9 versus 66.1 per cent, P=0.42, in this study that included 118 patients.

Comment: Either wrong programme or wrong type of patient.

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