Quality of Life and Surgical Outcome 1 Year After Open and Laparoscopic Incisional Hernia Repair

Rogmark, Peder; Petersson, Ulf; Bringman, Sven; Ezra, Emmanuel; Österberg, Johanna; Montgomery, Agneta

doi:10.1097/sla.0000000000001305

Cited by 77 publications

(40 citation statements)

References 25 publications

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“…All studies used a minimum mesh overlap of 3–5 cm. Thirty studies reported the percentage of patients at last follow‐up, with a median of 98 (range 76–100) per cent. Follow‐up was given as either a mean or median value, with an overall median of 22 (range 6–64) months.…”

Section: Resultsmentioning

confidence: 99%

“…There was an unclear risk of attrition bias in three studies as they did not describe patients lost to follow‐up. The risk of funding bias was unclear in two studies that did not describe the source of funding, and high in five studies that were funded by industry. The remaining three studies reported no funding from industry and had a low risk of funding bias.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Systematic review and network meta-analysis of methods of mesh fixation during laparoscopic ventral hernia repair

Baker

Öberg

Andresen

et al. 2018

Journal of British Surgery

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Systematic review and network meta-analysis of methods of mesh fixation during laparoscopic ventral hernia repair

Baker

Öberg

Andresen

et al. 2018

Journal of British Surgery

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“…A generic validated QOL scale should be more acceptable to population and observers and should be consistent and acceptable in both short and long term follow up. [18][19][20][21][22][23][24][25][26][27][28][29][30][31] Literature review has showed that, it is best to use a generic scale with a disease specific scale along with a validated pain scale that can cover the immediate postoperative period. 8,13,14 Pain scores should be used in the peri-operative period to determine if patient has developed any acute pain or his pre-operative pain is continuing and becoming a chronic pain.…”

Section: Discussionmentioning

confidence: 99%

“…Time frame for follow up is the most diverged subject in the literature, where quality of life was measured as soon as next day of surgery to up to five years. [18][19][20][21][22][23][24][25][26][27][28][29][30][31] No consistency was found in the follow up period and in different studies it ranges from days to years. Literature review also did not help to conclude the best time for follow up.…”

Section: Discussionmentioning

confidence: 99%

Review of currently used standardized measures of quality of life after ventral incisional hernia repair: systematic review

Majeed

Chauhan

2019

Int Surg J

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After advancements in surgical and anaesthetics expertise and increased life spans among patients with complex abdominal surgeries, clinicians are left with the next main challenge, to how to improve the quality of life in patients with incisional hernia resulted from previous complex abdominal surgeries. To date there is no consensus over the choice of instrument and time frame for its administration in the literature. The aim of this review was to search for the current literature on measurement of quality of life in patients with ventral incisional hernia repair and to explore how effective each QOL instrument was for measuring impact on quality of life after ventral incisional hernia repair. In accordance with PRISMA guidelines two independent clinicians searched for Mesh and specific terms related to quality of life in patients with ventral incisional hernia. Search was made on PubMed, Embase and other research databases. Trial registries were searched for any published or unpublished trials. Literature search came up with 461 articles. After scanning and removal of duplication, 200 articles were subjected to inclusion and exclusion criterion and 59 articles were selected for qualitative analysis. Different scales for the measurement of quality of life after ventral incisional hernia repair were found. The incidence of incisional hernia itself was found to be the biggest determinant of poor quality of life, regardless of timescale of follow up and type of surgery performed. No single instrument was found to be complete enough to address the wide-ranging health-related quality of life issues in patients after incisional hernia repair.

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“…One obvious goal in ventral hernia repair is to improve patients' QoL. Only a few studies have measured the influence of LIVHR on QoL [22][23][24]. According to these outcomes, LIVHR appears to reduce chronic pain and physical impairment and improves long-term QoL.…”

mentioning

confidence: 99%

Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a prospective randomised multicentre study, 1-year results

et al. 2019

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Purpose Laparoscopic incisional ventral hernia repair (LIVHR) is often followed by seroma formation, bulging and failure to restore abdominal wall function. These outcomes are risk factors for hernia recurrence, chronic pain and poor quality of life (QoL). We aimed to evaluate whether LIVHR combined with defect closure (hybrid) follows as a diminished seroma formation and thereby has a lower rate of hernia recurrence and chronic pain compared to standard LIVHR. Methods This study is a multicentre randomised controlled clinical trial. From November 2012 to May 2015, 193 patients undergoing LIVHR for primary incisional hernia with fascial defect size from 2 to 7 cm were recruited in 11 Finnish hospitals. Patients were randomised to either a laparoscopic (LG) or a hybrid (HG) repair group. The main outcome measure was hernia recurrence, evaluated clinically and radiologically at a 1-year follow-up visit. At the same time, chronic pain scores and QoL were also measured. Results At the 1-year-control visit, we found no difference in hernia recurrence between the study groups. Altogether, 11 recurrent hernias were found in ultrasound examination, producing a recurrence rate of 6.4%. Of these recurrences, 6 (6.7%) were in the LG group and 5 (6.1%) were in the HG group (p > 0.90). The visual analogue scores for pain were low in both groups; the mean visual analogue scale (VAS) was 1.5 in LG and 1.4 in HG (p = 0.50). QoL improved significantly comparing preoperative status to 1 year after operation in both groups since the bodily pain score increased by 7.8 points (p < 0.001) and physical functioning by 4.3 points (p = 0.014). Conclusion Long-term follow-up is needed to demonstrate the potential advantage of a hybrid operation with fascial defect closure. Both techniques had low hernia recurrence rates 1 year after operation. LIVHR reduces chronic pain and physical impairment and improves QoL. Trial Registry: Clinical trial number NCT02542085.

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Quality of Life and Surgical Outcome 1 Year After Open and Laparoscopic Incisional Hernia Repair

Abstract: Patients with incisional hernia benefit substantially from surgery concerning QoL, independent of surgical technique. An event-free recovery occurred frequently after laparoscopic surgery. SF-36 seems well suited for assessing surgical outcome in patients after incisional hernia repair.

Cited by 77 publications

References 25 publications

Systematic review and network meta-analysis of methods of mesh fixation during laparoscopic ventral hernia repair

Systematic review and network meta-analysis of methods of mesh fixation during laparoscopic ventral hernia repair

Review of currently used standardized measures of quality of life after ventral incisional hernia repair: systematic review

Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a prospective randomised multicentre study, 1-year results

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