{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:27:10Z","timestamp":1790962030278,"version":"4.1.0"},"reference-count":9,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T00:00:00Z","timestamp":1767657600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontierspartnerships.org"],"crossmark-restriction":true},"short-container-title":["J. Abdom. Wall Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The ongoing full-scale war in Ukraine has led to a significant increase in the number of patients undergoing damage control surgery following abdominal shrapnel wounds. These injuries are consistently associated with extensive soft tissue defects of the abdominal wall and secondary wound healing that frequently lead to the formation of large ventral hernias. In such patients, the primary goal is to provide the safest possible treatment and facilitate rapid recovery. The implementation of Enhanced Recovery After Surgery (ERAS) protocols has shown proven benefits in elective surgical settings. However, their use in ventral hernia repair remains insufficiently studied. The aim of this study is to evaluate the safety and effectiveness of adapted ERAS protocols in the management of ventral hernias after damage control surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included 62 males divided into two groups based on the treatment period. Patients treated in the period before September 2024 received standard care (non-ERAS group), and those treated between September 2024 and April 2025 received treatment with implementation of ERAS protocols (ERAS group). All surgical procedures were performed using an open approach. Intraoperative and postoperative parameters were compared, including operative time, pain intensity, bowel function recovery, and length of hospital stay. The components of the adapted ERAS protocols included opioid-free pain management, the avoidance of intra-abdominal drains, early feeding, and early mobilisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The implementation of modified ERAS protocols led to an improvement in clinical outcomes. The mean hospital stay was shorter in the ERAS group (12.07 compared with 16.47 days,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.001). The timing of the first postoperative bowel movement differed significantly between the groups, with 93.3% of ERAS patients passing stool by postoperative day 2 compared with 15.6% in the non-ERAS group (\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.001). The mean Visual Analogue Scale score was lower in ERAS group on postoperative day 2 (3.83 compared with 5.47,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.001). No increase in postoperative complications was observed in the ERAS group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The application of modified ERAS protocols was safe and effective for patients with ventral hernias after abdominal injuries and led to a reduced hospital stay, faster restoration of bowel function and decreased postoperative pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/jaws.2025.15474","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T06:10:24Z","timestamp":1767679824000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Implementation of Modified Enhanced Recovery After Surgery Protocols for Elective Incisional Hernia Repair After Damage Control Surgery: A Retrospective Observational Study"],"prefix":"10.3389","volume":"4","author":[{"given":"Marharyta","family":"Smirnova","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oleh","family":"Herasymenko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mykhailo","family":"Koshikov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitalii","family":"Melnyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alim","family":"Ulukhanov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1186\/s13017-021-00352-5","article-title":"Evidence for Use of Damage Control Surgery and Damage Control Interventions in Civilian Trauma Patients: A Systematic Review","volume":"16","author":"Roberts","year":"2021","journal-title":"World J Emerg Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1186\/s13017-025-00657-9","article-title":"Timing of Planned Reoperation After Damage Control Surgery in Patients With Trauma: A Systematic Review and Meta-Analysis","volume":"20","author":"Seo","year":"2025","journal-title":"World J Emerg Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1007\/s10029-009-0518-x","article-title":"Classification of Primary and Incisional Abdominal Wall Hernias","volume":"13","author":"Muysoms","year":"2009","journal-title":"Hernia"},{"key":"B4","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1007\/s00464-020-07995-6","article-title":"Enhanced Recovery After Abdominal Wall Reconstruction: A Systematic Review and Meta-Analysis","volume":"35","author":"Lode","year":"2021","journal-title":"Surg Endosc"},{"key":"B5","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1097\/DCR.0000000000002650","article-title":"Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons (ASCRS) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)","volume":"66","author":"Irani","year":"2023","journal-title":"Dis Colon Rectum"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e69","DOI":"10.12771\/emj.2024.e69","article-title":"Clinical Outcomes and Future Directions of Enhanced Recovery After Surgery in Colorectal Surgery: A Narrative Review","volume":"47","author":"Song","year":"2024","journal-title":"Ewha Med J"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1685","DOI":"10.1007\/s13304-024-01755-0","article-title":"A Comparative Study in Elective Repair of Large Incisional Hernias Using on-lay Mesh Vs Sub-lay Mesh: A Meta-Analysis","volume":"76","author":"Hassan","year":"2024","journal-title":"Updates Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1097\/EJA.0000000000001668","article-title":"The Analgesic Efficacy of Transversus Abdominis Plane Block Vs Wound Infiltration After Inguinal and Infra-Umbilical Hernia Repair: A Systematic Review and Meta-Analysis With Trial Sequential Analysis","volume":"39","author":"Grape","year":"2022","journal-title":"Eur J Anaesthesiol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"125","DOI":"10.21454\/rjaic.7518.242.chv","article-title":"Postoperative Analgesic Efficiency of Transversus Abdominis Plane Block After Ventral Hernia Repair: A Prospective Randomized Controlled Clinical Trial","volume":"24","author":"Chesov","year":"2017","journal-title":"Rom J Anaesth Intensive Care"}],"container-title":["Journal of Abdominal Wall Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontierspartnerships.org\/articles\/10.3389\/jaws.2025.15474\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T06:10:27Z","timestamp":1767679827000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontierspartnerships.org\/articles\/10.3389\/jaws.2025.15474\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,6]]},"references-count":9,"alternative-id":["10.3389\/jaws.2025.15474"],"URL":"https:\/\/doi.org\/10.3389\/jaws.2025.15474","relation":{},"ISSN":["2813-2092"],"issn-type":[{"value":"2813-2092","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,6]]},"article-number":"15474"}}