Apport d’un parcours de soin en chirurgie pariétale
Seance of wednesday 18 march 2026 (L'Académie reçoit la Société Française de Chirurgie Pariétale)
DOI number : 10.26299/g0th-r711/emem.2026.12.02
Abstract
A care pathway in abdominal wall surgery allows surgeons to have a coordinated and standardized perioperative planning of the surgical management of patients. This oral presentation aims to itemize the different aspects of a clinical care pathway and to assess the existing data of the literature in this field.
In abdominal wall surgery, a comprehensive clinical care pathway usually includes a prehabilitation program and a preoperative optimization of the patient followed by an enhanced recovery after surgery protocol during the postoperative phase. The goal of prehabilitation is to prepare the patient as best as possible at the nutritional, cardiorespiratory, and psychological levels. The optimization aims to improve the existing patient comorbidities (obesity, diabetes, …) to decrease their impact on the risk of postoperative complications. A protocol of enhanced recovery commonly including rapid resumption of oral food, early mobilization, and multimodal analgesia enables patients to have a better and improved postoperative rehabilitation.
Gaëtan-Romain Joliat
Department of digestive surgery and surgical oncology, Lyon Sud Hospital, Lyon, France
Department of visceral surgery, Lausanne University Hospital CHUV, University of Lausanne (UNIL), Lausanne, Switzerland
In abdominal wall surgery, a comprehensive clinical care pathway usually includes a prehabilitation program and a preoperative optimization of the patient followed by an enhanced recovery after surgery protocol during the postoperative phase. The goal of prehabilitation is to prepare the patient as best as possible at the nutritional, cardiorespiratory, and psychological levels. The optimization aims to improve the existing patient comorbidities (obesity, diabetes, …) to decrease their impact on the risk of postoperative complications. A protocol of enhanced recovery commonly including rapid resumption of oral food, early mobilization, and multimodal analgesia enables patients to have a better and improved postoperative rehabilitation.
Gaëtan-Romain Joliat
Department of digestive surgery and surgical oncology, Lyon Sud Hospital, Lyon, France
Department of visceral surgery, Lausanne University Hospital CHUV, University of Lausanne (UNIL), Lausanne, Switzerland