Prehabilitation for Ventral Hernia

Recruiting in Palo Alto (17 mi)

Overseen byJeremy Warren, MD

Age: 65+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Prisma Health-Upstate

No Placebo Group

Trial Summary

What is the purpose of this trial?The purpose of this study is to assess the physical fitness of patients undergoing hernia repair and correlate the postoperative outcomes and recovery as well as assess the impact of a targeted physical exercise program preoperatively in a cohort of frail, elderly patients. The investigators hypothesize that physical exercise will improve activity levels in elderly patients with frailty prior to ventral hernia repair. The investigators further hypothesize that increased levels of activity preoperatively will correlate with improved postoperative outcomes.

Eligibility Criteria

This trial is for elderly, frail patients who need ventral hernia repair surgery. Participants should be physically able to engage in a targeted exercise program before their surgery.

Inclusion Criteria

Group 3: Uses a smartphone that is capable of downloading the Health Kit application

Group 3: Willing to consent to activity data capture

I am somewhat frail according to a specific health scale.

+7 more

Exclusion Criteria

I cannot do exercises on my own due to my health condition.

I am under 65 years old.

Groups 1 & 2: Score of < 6 or >11 on Edmonton Frail Scale

+12 more

Participant Groups

The study is testing if doing specific physical exercises and breathing muscle training (prehabilitation) before the surgery can help improve recovery compared to the usual care given without special pre-surgery exercises.

3Treatment groups

Experimental Treatment

Active Control

Group I: Group 2 - Physical Exercise ArmExperimental Treatment1 Intervention

Elderly patients with frailty participate in a 6-8 weeks of physical exercise program through the YMCA's SilverSneakers Program monitored by a wearable activity monitor. Patients will also complete respiratory training by using an incentive spirometer daily. Postoperative outcomes are measured

Group II: Group 1 - Standard of CareActive Control1 Intervention

Patient receives standard of care instructions for preparing for ventral hernia repair surgery and recovery. Postoperative outcomes are measured.

Group III: Group 3 - Observational CohortActive Control1 Intervention

Patient's physical activity is monitored prior to receiving ventral hernia repair surgery and postoperative outcomes are measured.