The quality of life after laparoscopic ventral and incisional hernia repair with closure and non-closure of fascial defect

Autor: Kaoru Sato, Hiromi Tokumura, Naoki Matsumura, Yukari Okazaki, Yoichi Narushima, Fumito Saijo
Rok vydání: 2019
Předmět:
Zdroj: Surgery Today. 49:942-947
ISSN: 1436-2813
0941-1291
DOI: 10.1007/s00595-019-01834-5
Popis: 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. 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. 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. LVIHR improved the QOL, regardless of defect closure.
Databáze: OpenAIRE
Externí odkaz: