Laparoscopic Totally Extraperitoneal Groin Hernia Repair and Quality of Life at 2-Year Follow-Up
| Autor: | Woody Denham, Brittany Lapin, Lava Y. Patel, Stephen P. Haggerty, Francis J. DeAsis, Ray Joehl, Matthew E. Gitelis, John G. Linn, Michael B. Ujiki |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Activities of daily living SF-36 Narcotic medicine.medical_treatment Pain medication Hernia Inguinal 030230 surgery 03 medical and health sciences 0302 clinical medicine Patient satisfaction Quality of life medicine Health Status Indicators Humans Prospective Studies Herniorrhaphy Aged Groin business.industry Middle Aged Hernia repair Surgery medicine.anatomical_structure Treatment Outcome Patient Satisfaction 030220 oncology & carcinogenesis Quality of Life Female Laparoscopy Peritoneum business Follow-Up Studies |
| Zdroj: | Journal of the American College of Surgeons. 223(1) |
| ISSN: | 1879-1190 |
| Popis: | Background The lack of long-term data on quality of life after groin hernia repair presents a challenge in setting patients' postoperative expectations. This study aimed to describe quality of life outcomes after laparoscopic totally extraperitoneal groin hernia repair with a minimum of 2 years follow-up. Study Design We prospectively evaluated 293 patients who had laparoscopic totally extraperitoneal groin hernia repair in an IRB-approved study. The Short-Form 36-item Health Survey (version 2), Surgical Outcomes Measurement System, and Carolinas Comfort Scale were administered pre- and postoperatively. Pairwise comparisons using nonparametric Wilcoxon signed rank test were made between time points. Results Mean patient age was 56 ± 15 years and 93% were male; 80% of patients presented with painful hernias and 15% of hernias were recurrent. Mean operative time was 43 ± 16 minutes. No operative complications occurred. Mean duration of narcotic pain medication use was 2.5 ± 3.4 days, and daily activities were resumed and return to work occurred 5.4 ± 4.4 days and 5.4 ± 3.9 days post operation, respectively. Recurrence rate was 2%. The Short-Form 36-item Health Survey outcomes improved from baseline for domains of Physical Functioning, Role Limitations due to Physical Health, and Pain at 2 years post operation; Surgical Outcomes Measurement System outcomes improved for domains of Pain Impact on Quality of Life, Body Image, and Patient Satisfaction (p ≤ 0.05). The percentage of patients reporting no or mild but not bothersome symptoms on the Carolinas Comfort Scale at 2 years post operation for sensation of mesh, pain, and movement limitations were 98%, 95%, and 97%, respectively. Conclusions Measuring both general and procedure-specific quality of life, patients' perceptions of health status improved significantly 2 years after laparoscopic totally extraperitoneal groin hernia repair. |
| Databáze: | OpenAIRE |
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