TY - JOUR
T1 - The quality of life after laparoscopic ventral and incisional hernia repair with closure and non-closure of fascial defect
AU - Saijo, Fumito
AU - Tokumura, Hiromi
AU - Narushima, Yoichi
AU - Matsumura, Naoki
AU - Sato, Kaoru
AU - Okazaki, Yukari
N1 - Publisher Copyright:
© 2019, Springer Nature Singapore Pte Ltd.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - 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.
AB - 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.
KW - Defect closure
KW - Quality of life
KW - SF-36
KW - Ventral and incisional hernia
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U2 - 10.1007/s00595-019-01834-5
DO - 10.1007/s00595-019-01834-5
M3 - Article
C2 - 31203439
AN - SCOPUS:85067671480
VL - 49
SP - 942
EP - 947
JO - Surgery Today
JF - Surgery Today
SN - 0941-1291
IS - 11
ER -