Back to Search
Start Over
Laparoscopic Totally Extraperitoneal Groin Hernia Repair and Quality of Life at 2-Year Follow-Up.
- Source :
-
Journal of the American College of Surgeons . Jul2016, Vol. 223 Issue 1, p153-161. 9p. - Publication Year :
- 2016
-
Abstract
- <bold>Background: </bold>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.<bold>Study Design: </bold>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.<bold>Results: </bold>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.<bold>Conclusions: </bold>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. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HERNIA surgery
*LAPAROSCOPIC surgery
*QUALITY of life
*GROIN
*PAIN management
*FOLLOW-up studies (Medicine)
*DISEASES
*INGUINAL hernia
*COMPARATIVE studies
*HEALTH status indicators
*HEALTH surveys
*LAPAROSCOPY
*LONGITUDINAL method
*RESEARCH methodology
*MEDICAL cooperation
*PATIENT satisfaction
*PERITONEUM
*RESEARCH
*EVALUATION research
*TREATMENT effectiveness
*SURGERY
Subjects
Details
- Language :
- English
- ISSN :
- 10727515
- Volume :
- 223
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Journal of the American College of Surgeons
- Publication Type :
- Academic Journal
- Accession number :
- 116220473
- Full Text :
- https://doi.org/10.1016/j.jamcollsurg.2016.04.003