AI Article Synopsis
- This study compared the quality of life (QOL) in patients after laparoscopic ventral and incisional hernia repair (LVIHR), specifically looking at those with and without fascial defect closure.
- Researchers conducted follow-up interviews with 33 hernia patients from 2013 to 2016 using the SF-36 survey to measure changes in QOL before and one year post-surgery.
- The results showed significant improvements in QOL scores after surgery, and factors like obesity and hernia size were linked to variations in QOL, regardless of whether the defect was closed or not.
Article Abstract
Purpose: In this retrospective, non-randomized study, we compared the quality of life (QOL) of patients who underwent laparoscopic ventral and incisional hernia repair (LVIHR) with fascial defect closure or non-defect closure and examined the factors associated with the QOL after LVIHR.
Methods: Between February 2013 and 2016, we conducted a single-center, follow-up study of 33 consecutive midline hernia patients who underwent LVIHR. Overall, 14 cases underwent intraperitoneal onlay mesh repair (IPOM), and 19 underwent IPOM with fascial defect closure (IPOM-plus). Patients were interviewed using the 36-item Short Form Health Survey (SF-36) to assess their pre- and postoperative QOL (at 1, 3, 6, and 12 months after surgery). The QOL, as assessed by the SF-36, was compared before and at 1 year after surgery, and the risk factors associated with the QOL were examined.
Results: Overall, scores for 5 of the 8 domains and 1 of the 3 components of SF-36 had improved by 1 year after surgery compared with before surgery. The scores for the SF-36 domains and components at 1 year post-surgery were comparable in patients undergoing IPOM or IPOM-plus. Obesity, operative time, hernia size, and mesh size were factors correlated with the QOL.
Conclusions: LVIHR improved the QOL, regardless of defect closure.
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| http://dx.doi.org/10.1007/s00595-019-01834-5 | DOI Listing |
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