Health-related quality of life in patients treated for incisional hernia with an onlay technique

Abstract

HRQL is the same in patients treated for an incisional hernia compared to the matched controls. Therefore, the onlay technique seems to be an acceptable method to repair large incisional hernias.

A Patient-Centered Appraisal of Outcomes following Abdominal Wall Reconstruction

“…Satisfaction progressively improved over time after surgery. 17,23,[30][31][32][33] However, even when patients developed a postoperative complication, they still reported overall satisfaction with their surgery. 26,32 Most patients with and without complications would recommend having surgery to others considering surgery (92.3 percent versus 93.9 percent; p = 0.60).…”

“…14,16 Poelman et al were able to show that patients who undergo hernia repair may achieve the same health-related quality-of-life score as the general population. 17 Overall health-related quality of life was found to be improved in patients who underwent ventral hernia repair.…”

“…[13][14][15] After hernia repair, health-related quality-of-life scores were similar to those of the general population for all Short Form-36 subscales. 17 Patients who underwent repair were more likely to return to gainful employment, 15,20 and physical capabilities were significantly improved. 15,18,19,22,26 Hernia recurrence significantly impaired physical functioning scores.…”

“…Three studies demonstrated no differences in hernia repair patients versus the general population or those who developed a recurrence. 13,17,19 Six studies showed improved emotional or mental scores in those who underwent repair. 15 Patients with complex abdominal hernias were shown to be more likely to suffer from depression and were associated with lower emotional assessment scores.…”

“…[21][22][23][24] Pain scores were significantly improved compared with preoperative levels by postoperative week 8, and patients were pain free by a median time of 15 months. 17,21 Overall long-term pain after hernia repair was rare, regardless of whether patients underwent component separation or subcutaneous mobilization of flaps. [13][14][15]18,20,23,25,26 Patients were more likely to report moderate to severe sensory pain if they developed a recurrent hernia.…”