Quality of life following two different techniques of an open ventral hernia repair for large hernias: a prospective randomized study

Antic, Andrija; Kmezić, Stefan; Nikolić, Vladimir; Radenković, Dejan; Marković, Velimir; Pejovic, Ilija; Aleksić, Lidija D.; Lončar, Zlatibor; Antić, Svetlana; Kovac, Jelena; Marković-Denić, Ljiljana

doi:10.1186/s12893-022-01551-w

Cited by 13 publications

(4 citation statements)

References 28 publications

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“…Only a trend of better QoL outcomes in the laparoscopic group was observed, but scores differed not significantly. Improvement of QoL was mostly reflected in the physical subscales of the SF-36 instrument, which is in line with previous studies [ 30 ]. Better short-term QoL after laparoscopic repair has been described previously [ 16 ].…”

Section: Discussionsupporting

confidence: 91%

The INCH-trial: a multicenter randomized controlled trial comparing short- and long-term outcomes of open and laparoscopic surgery for incisional hernia repair

van Veenendaal,

Poelman,

Apers

et al. 2023

Surg Endosc

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Background Laparoscopic incisional hernia repair is increasingly performed worldwide and expected to be superior to conventional open repair regarding hospital stay and quality of life (QoL). The INCisional Hernia-Trial was designed to test this hypothesis. Methods A multicenter parallel randomized controlled open-label trial with a superiority design was conducted in six hospitals in the Netherlands. Patients with primary or recurrent incisional hernias were randomized by computer-guided block-randomization to undergo either conventional open or laparoscopic repair. Primary endpoint was postoperative length of hospital stay in days. Secondary endpoints included QoL, complications, and recurrences. Patients were followed up for at least 5 years. Results Hundred-and-two patients were recruited and randomized. In total, 88 patients underwent surgery and were included in the intention-to-treat analysis (44 in the open group, 44 in the laparoscopic group). Mean age was 59.5 years, gender division was equal, and BMI was 28.8 kg/m. The trial was concluded early for futility after an unplanned interim analysis, which showed that the hypothesis needed to be rejected. There was no difference in primary outcome: length of hospital stay was 3 (range 1–36) days in the open group and 3 (range 1–12) days in the laparoscopic group (p = 0.481). There were no significant between-group differences in QoL questionnaires on the short and long term. Satisfaction was impaired in the open group. Overall recurrence rate was 19%, of which 16% in the open and 23% in the laparoscopic group (p = 0.25) at a mean follow-up of 6.6 years. Conclusions In a randomized controlled trial, short- and long-term outcomes after laparoscopic incisional hernia repair were not superior to open surgery. The persisting high recurrence rates, reduced QoL, and suboptimal satisfaction warrant the need for patient’s expectation management in the preoperative process and individualized surgical management. Trial registration Netherlands Trial Register NTR2808.

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Section: Discussionsupporting

confidence: 91%

The INCH-trial: a multicenter randomized controlled trial comparing short- and long-term outcomes of open and laparoscopic surgery for incisional hernia repair

van Veenendaal,

Poelman,

Apers

et al. 2023

Surg Endosc

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“…Trials in hernia repair have consistently reported improvements in quality of life following minimally invasive techniques for abdominal wall hernia repair [27]. Our study aligns with these findings.…”

Section: Discussionsupporting

confidence: 90%

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Section: Discussionmentioning

confidence: 99%

Outcomes of Robotic Transabdominal Retromuscular Repair: 3-Year Follow-up

Garza,

Amaya-Romero,

Arevalo

2024

J. Abdom. Wall Surg.

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BackgroundOur study addresses the gap in ventral hernia repair literature, regarding the long-term effectiveness of robotic transabdominal retrorectus umbilical prosthetic repair (r-TARUP) for primary and incisional ventral hernias. This study aimed to report the 3-year recurrence rates and overall patient outcomes including quality of life.MethodA retrospective review of prospective collected data analyzed 101 elective r-TARUP patients from August 2018 to January 2022. Data collected included demographics, hernia sizes, mesh types, postoperative outcomes and the European Hernia Society Quality of Life questionnaire (EuraHS-QoL) before and after surgery.ResultsThe average age of the group of patients was 53, having a mean body mass index (BMI) of 32 kg/m, with 54% incisional and 46% primary hernias, with mean length and width of 4.4 cm and 6.1 cm, utilizing synthetic 58% and bioabsorbable 42% mesh types. The majority were classified as Centers of Disease Control and Prevention (CDC) class I wounds. Postoperative complications included seroma (2%), hematoma (3%), which required surgical intervention, with no significant correlation to mesh type. A strong positive correlation was found between Transversus Abdominis Release (TAR) and increased length of hospital stay (correlation coefficient: 0.731, p<0.001). Preoperative quality of life assessments demonstrated statistically significant improvements when compared to postoperative assessments at 3 years, with a mean (±SD) of 61.61 ± 5.29 vs. 13.84 ± 2.6 (p<0.001). Mean follow up of 34.4 months with no hernia recurrence at 1 year and 3 recurrence at the 2-3 years follow up (3.2%).ConclusionThe r-TARUP technique has proven to be safe and effective for repairing primary and incisional ventral hernias, with a low recurrence rate during this follow up period with a noticeable improvement in quality of life (QoL).

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Quality of life following two different techniques of an open ventral hernia repair for large hernias: a prospective randomized study

Cited by 13 publications

References 28 publications

The INCH-trial: a multicenter randomized controlled trial comparing short- and long-term outcomes of open and laparoscopic surgery for incisional hernia repair

The INCH-trial: a multicenter randomized controlled trial comparing short- and long-term outcomes of open and laparoscopic surgery for incisional hernia repair

DataSheet1.docx

Outcomes of Robotic Transabdominal Retromuscular Repair: 3-Year Follow-up

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