Quality of life after laparoscopic ventral hernia repair, a prospective observational study
Abstract
Introduction: Studies on post-operative quality of life in Indian patients undergoing laparoscopic ventral hernia repair are scarce. In recent times, the focus of the surgical outcomes is taking a paradigm shift from traditional and surgeon centered approach of post-operative complications, recurrence rates etc. towards patient centered outcomes like quality of life. Hence the current study has been conducted to assess the quality of life of patients undergoing laparoscopic ventral hernia repair, using Hernia-Related Quality-of-Life Survey (HerQLes) in a tertiary care teaching hospital.
Materials & methods: The study was a prospective observational study, conducted in Rajiv Gandhi institute of medical sciences, a tertiary care teaching hospital in South India on 27 subjects, who underwent ventral hernia repair. Data related to quality of life was collected using a structured and validated instrument, Hernia-Related Quality-of-Life Survey (HerQLes), propsed by Krpata, D. M., et al.
Results: The improvement in mean Hernia-Related Quality-of-Life Survey (HerQLes) at 1 week after surgery was only 1.9 (-8.18 to 11.98, P value 0.967), which was statistically significant. When compared to preoperative score, there was 13.50 units increase in mean HerQLes at 1 month (3.41 to 23.58, p value 0.003), and this improvement was 22.60 units (12.51 to 32.68, p value < 0.001) at 6 months after surgery. The improvement in mean HerQLes at 1 month and 6 months were statistically significant.
Conclusions: Laparoscopic ventral hernia repair has led to significant improvement in quality of life at 1 month and 6 months after surgery, when compared with pre-operative quality of life. Even within the post-operative period, there is gradual improvement in quality of life at different follow up periods.
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References
2. Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])-Part 2. Surgical endoscopy. 2014;28(2):353-79. [PubMed]
3. Krpata DM, Schmotzer BJ, Flocke S, Jin J, Blatnik JA, Ermlich B, et al. Design and initial implementation of HerQLes: a hernia-related quality-of-life survey to assess abdominal wall function. Journal of the American College of Surgeons. 2012;215(5):635-42.
4. Satterwhite TS, Miri S, Chung C, Spain D, Lorenz HP, Lee GK. Outcomes of complex abdominal herniorrhaphy: experience with 106 cases. Annals of plastic surgery. 2012;68(4):382-8. [PubMed]
5. Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli G, Fortelny R, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])-Part III. Surgical endoscopy. 2014;28(2):380-404. [PubMed]
6. Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)-part 1. Surgical endoscopy. 2014;28(1):2-29. [PubMed]
7. Awaiz A, Rahman F, Hossain MB, Yunus RM, Khan S, Memon B, et al. Meta-analysis and systematic review of laparoscopic versus open mesh repair for elective incisional hernia. Hernia : the journal of hernias and abdominal wall surgery. 2015;19(3):449-63.
8. Forbes SS, Eskicioglu C, McLeod RS, Okrainec A. Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. The British journal of surgery. 2009;96(8):851-8. [PubMed]
9. Fujita T. Re: Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. The British journal of surgery. 2009;96(11):1371-2; author reply 2. [PubMed]
10. Lomanto D, Iyer SG, Shabbir A, Cheah WK. Laparoscopic versus open ventral hernia mesh repair: a prospective study. Surgical endoscopy. 2006;20(7):1030-5. [PubMed]
11. Criss CN, Petro CC, Krpata DM, Seafler CM, Lai N, Fiutem J, et al. Functional abdominal wall reconstruction improves core physiology and quality-of-life. Surgery. 2014;156(1):176-82. [PubMed]
12. Eriksen JR. Pain and convalescence following laparoscopic ventral hernia repair. Danish medical bulletin. 2011;58(12):B4369. [PubMed]
13. Tollens T, Topal H, Lucardie A, Vermeiren K, Aelvoet C. Long-term Outcome on the use of the Ventralight ST Hernia Patch in Laparoscopic Ventral Hernia Repair. Surgical technology international. 2015;26:157-61. [PubMed]
14. Nielsen K, Poelman MM, den Bakker FM, van der Ploeg T, Bonjer HJ, Schreurs WH. Comparison of the Dutch and English versions of the Carolinas Comfort Scale: a specific quality-of-life questionnaire for abdominal hernia repairs with mesh. Hernia : the journal of hernias and abdominal wall surgery. 2014;18(4):459-64. [PubMed]
15. Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. The Cochrane database of systematic reviews. 2011(3):Cd007781. [PubMed]
16. Abdalla RZ, Garcia RB, Said DF, Abdalla BMZ. QUALITY OF LIFE OF IN PATIENTS SUBMITTED TO ANTERIOR ABDOMINAL WALL LAPAROSCOPIC HERNIOPLASTY. Arquivos Brasileiros de Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery. 2014;27(1):30-3.
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