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Erschienen in: Surgical Endoscopy 9/2015

01.09.2015

Patient-centered outcomes following laparoscopic inguinal hernia repair

verfasst von: Michael B. Ujiki, Matthew E. Gitelis, Joann Carbray, Brittany Lapin, John Linn, Steven Haggerty, Chi Wang, Ryota Tanaka, Ermilo Barrera, Zeeshan Butt, Woody Denham

Erschienen in: Surgical Endoscopy | Ausgabe 9/2015

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Abstract

Background

Inguinal hernia repair is the most common surgery in the world. Health-related quality of life (HRQOL) outcomes are arguably the most important elements of successful repair. This study is aimed to describe short- and long-term quality of life outcomes in patients undergoing laparoscopic inguinal hernia repair.

Methods

We prospectively followed patients who underwent totally extraperitoneal laparoscopic inguinal hernia repair (TEP) as part of an Institutional Review Board-approved study. HRQOL was measured preoperatively, or 3 weeks, 6 months, and 1 year postoperatively using Short Form 36 Health Survey Version 2 (SF-36v2) and Carolinas Comfort Scale. Postoperative HRQOL scores were compared to baseline using paired t tests.

Results

Between June 2009 and February 2014, 1,175 patients underwent TEP by four surgeons. Of those, 301 patients with 388 hernias were registered in the database and followed by a research coordinator. Mean age was 56.4 ± 15.2 years and 93 % were male. Mean body mass index was 26.1 ± 3.7 kg/m2. Seventy-eight percent presented with pain, the majority of which were described as mild. Hernias were unilateral right-sided in 43 %, left-sided in 28 %, and bilateral in 29 %. Eighty-five percent were primary hernias. Average operative time was 43.5 ± 17.9 min and there were no intraoperative complications. Urinary retention occurred in 6 %. Visual analog scale at discharge was 1.9 ± 1.7. Analgesics were used an average of 2.5 ± 3.4 days and return to activities of daily living and work occurred on postoperative 5.5 ± 4.4 and 5.6 ± 3.9 days. Recurrence occurred in 2.1 %. Significant improvements between baseline and 1 year were found in role limitations due to physical health (81.5 ± 25.6 vs. 91.8 ± 19.4, p = 0.02), social functioning (87.4 ± 21.3 vs. 92.9 ± 15.3, p = 0.02), and pain (78.2 ± 19.7 vs. 86.6 ± 15.9, p = 0.007).

Conclusions

TEP results in significant improvement in HRQOL including physical health, social functioning, and pain at 1 year. On average, patients are able to return to activities of daily living and work within a week.
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Metadaten
Titel
Patient-centered outcomes following laparoscopic inguinal hernia repair
verfasst von
Michael B. Ujiki
Matthew E. Gitelis
Joann Carbray
Brittany Lapin
John Linn
Steven Haggerty
Chi Wang
Ryota Tanaka
Ermilo Barrera
Zeeshan Butt
Woody Denham
Publikationsdatum
01.09.2015
Verlag
Springer US
Erschienen in
Surgical Endoscopy / Ausgabe 9/2015
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-014-4011-y

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