Postoperative pain and quality of life after laparoscopic and open inguinal hernia repair: results of a prospective randomized trial

Hernia ◽  
2006 ◽  
Vol 10 (4) ◽  
pp. 331-337 ◽  
Author(s):  
H. Pokorny ◽  
A. Klingler ◽  
M. Scheyer ◽  
R. Függer ◽  
G. Bischof
Keyword(s):  
Quality Of Life ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Randomized Trial ◽  
Inguinal Hernia Repair ◽  
Prospective Randomized Trial ◽  
Open Inguinal Hernia Repair

scholarly journals O41 PREDICTORS OF LOW QUALITY AFTER OPEN INGUINAL HERNIA REPAIR USING THE EURAHS-QOL SCORE: PROSPECTIVE MULTICENTRIC COHORT STUDY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Joana Simoes ◽  
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Fixation ◽  
Absorbable Mesh ◽  
Open Inguinal Hernia Repair

Abstract Aim Evidence about factors influencing quality of life after inguinal hernia surgery is scarce. This study aimed to identify predictors of low Quality of Life (QoL) after open inguinal hernia repair, to guide practice and inform patients at high risk. Material and Methods Prospective multicentric cohort study including consecutive patients undergoing elective open inguinal hernia repair in Portuguese hospitals (October-December 2019). The primary outcome was Quality of Life at 3 months after surgery, using the EuraHS-QoL score (higher score correlates with lower QoL). Low QoL was defined as the higher EuraHS-QoL score tertile and multivariate logistic regression was used to identify predictors. Results 893 patients were included from 33 hospitals. The majority were men (89.9% [800/891]), had unilateral hernias 88.7% (774/872) and the most common surgical technique was Lichtenstein’s repair (52.9% [472/893]). The median QoL score was 24 (IQR 10-40) before surgery and 2 (IQR 0-10) at 3 months after surgery, showing significant improvement (p < 0.001). After adjustment, low QoL at 3 months was associated with low preoperative QoL (OR 1.76, 95% CI 1.21-2.57, p = 0.003), non-absorbable mesh fixation (OR 1.64, 95% CI 1.12-2.41, p = 0.011), severe immediate postoperative pain (OR 2.90, 95% CI 1.66-5.11, p < 0.001) and minor postoperative complications (OR 2.23, 95% CI 1.30-3.84, p = 0.004). Conclusions This study supports the use of the EuraHS-QoL score preoperatively to inform consent. Although significant improvement in QoL is expected after surgery, high scores before surgery are associated with low postoperative QoL. Caution should be taken with non-absorbable mesh fixation and immediate postoperative pain control should be optimised.

Quality of life change in elderly patients undergoing open inguinal hernia repair

Hernia ◽  
2013 ◽  
Vol 17 (6) ◽  
pp. 729-736 ◽  
Author(s):  
G. Pierides ◽  
K. Mattila ◽  
J. Vironen
Keyword(s):  
Quality Of Life ◽  
Inguinal Hernia ◽  
Elderly Patients ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Life Change ◽  
Open Inguinal Hernia Repair

Prospective study of pain, quality of life and the economic impact of open inguinal hernia repair

2013 ◽  
Vol 100 (11) ◽  
pp. 1483-1488 ◽  
Author(s):  
E. Palmqvist ◽  
K. Larsson ◽  
A. Anell ◽  
C. Hjalmarsson
Keyword(s):  
Quality Of Life ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Prospective Study ◽  
Economic Impact ◽  
Inguinal Hernia Repair ◽  
Open Inguinal Hernia Repair

scholarly journals Quality of life in patients early after surgery

2018 ◽  
Vol 75 (6) ◽  
pp. 558-563
Author(s):  
Zarko Krivokapic ◽  
Goran Stojanovic ◽  
Negra Terzic ◽  
Ljiljana Jovcic ◽  
Gora Miljanovic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Pilonidal Sinus ◽  
World Health ◽  
Surgical Interventions ◽  
Open Inguinal Hernia Repair ◽  
Postoperative Quality

Background/Aim. Quality of life in patients early after elective surgery is related to postoperative pain and recovery rate. The aim of this study was to compare immediate preoperative and early postoperative quality of life after three common elective surgical interventions in hospital settings. Methods. Population of this prospective cohort study included patients who underwent one of the three surgical interventions: elective laparoscopic cholecystectomy (n = 40), open inguinal hernia repair (n = 40) or excision of pilonidal sinus (n = 40). Primary outcome of the study was quality of life measured once-daily, starting from the day before surgery, and then each postoperative day. It was measured by visual analogue scale (VAS) and by Serbian translation of short questionnaire on quality of life developed by World Health Organization. Results. Postoperative quality of life dropped to the lowest level on the first postoperative day, regardless of the type of surgery. The drop was the most pronounced in physical and psychological aspects of quality of life (e.g. after cholecystectomy from 15.4 ? 2.5 to 12.5 ? 2.0, and from 15.9 ? 2.0 to 14.9 ? 2.1, respectively) while social and environmental aspects were the least affected by the surgery (e.g., after excision of pilonidal sinus from 16.3 ? 2.6 to 15.7 ? 2.1, and from 14.3 ? 2.6 to 14.1 ? 2.2, respectively). Quality of life was rapidly restored on the second postoperative day, and on the last day before discharge of the patient from hospital it surpasses preoperative level (e.g., after open inguinal hernia repair from 14.6 ? 3.6 to 15.2 ? 3.0. Conclusions. Minor elective surgical interventions are associated with only moderate (less than 25%) and short (one day) immediate postoperative decrease in quality of life, which is followed by increase on discharge from hospital to the levels, higher than preoperative one.

Local Anesthesia in Open Inguinal Hernia Repair Improves Postoperative Quality of Life Compared to General Anesthesia: A Prospective, International Study

2015 ◽  
Vol 81 (7) ◽  
pp. 704-709 ◽  
Author(s):  
Ciara R. Huntington ◽  
Blair A. Wormer ◽  
Tiffany C. Cox ◽  
Laurel J. Blair ◽  
Amy E. Lincourt ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multivariate Analysis ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Local Anesthesia ◽  
Mesh Size ◽  
Open Inguinal Hernia Repair ◽  
Postoperative Quality

The choice of general (GA) versus local anesthesia (LA) in open inguinal hernia repair (OIHR) has a substantial financial impact and may influence clinical outcomes. Our study compares postoperative quality of life (QOL) in patients undergoing OIHR under LA versus GA. A cooperative prospective study from centers in 10 countries was performed through the International Hernia Mesh Registry from 2007 to 2012. QOL was compared at one, six, 12, and 24 months for LA versus GA with univariate and multivariate analysis controlling for known confounding variables. Of 1128 patients who underwent OIHR, 585(52%) used GA and 533(48%) used LA. Most were male (92%) with unilateral (94%), primary (91%) repairs with a mean age 57 ± 16 years. There was no difference ( P > 0.05) in age, gender, operative time, mesh size, length of stay, infection, recurrence, reoperation, or death. Multivariate analysis demonstrated significant QOL differences between groups: GA had higher odds of discomfort at one and six months [odds ratio (OR) 3.3, 2.0], movement limitation at one and six months (OR 3.5, 2.8), and mesh sensation at one and 12 months (OR 2.9, 1.8). Overall, patients undergoing OIHR under LA had improved postoperative QOL in the short and long term compared with GA.

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