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

Fumito Saijo, Hiromi Tokumura, Yoichi Narushima, Naoki Matsumura, Kaoru Sato, Yukari Okazaki

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)942-947
Number of pages6
JournalSurgery today
Volume49
Issue number11
DOIs
Publication statusPublished - 2019 Nov 1
Externally publishedYes

Keywords

  • Defect closure
  • Quality of life
  • SF-36
  • Ventral and incisional hernia

ASJC Scopus subject areas

  • Surgery

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