What Can Complex Abdominal Wall Hernia Surgeons Learn About Quality of Life From Ancient Greek Philosophers?

2020 ◽  
Vol 03 (03) ◽  
Author(s):  
Olivia Smith ◽  
Miriam Isaac ◽  
Thomas Elanjithara ◽  
Praminthra Chitsabesan ◽  
Srinivas Chintapatla
Keyword(s):  
Quality Of Life ◽  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Ancient Greek

scholarly journals P059 QUALITY OF LIFE IN COMPLEX ABDOMINAL WALL HERNIA PATIENTS

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Olivia Smith ◽  
Srinivas Chintapatla ◽  
Praminthra Chitsabesan
Keyword(s):  
Quality Of Life ◽  
Qualitative Study ◽  
Abdominal Wall ◽  
Interpretative Phenomenological Analysis ◽  
Abdominal Wall Hernia ◽  
Phenomenological Analysis ◽  
Social Processes

Abstract Aim determine themes reported as important to Quality of Life (QoL) in Complex Abdominal Wall Hernia (CAWH) patients Material and Methods 15 purposively sampled CAWH patients were interviewed using topic guides (8 men and 7 women aged between 36 to 85 years [median = 65 years] covering all VHWG grades). All verbatim transcripts were coded and analysed using NVIVO12 software and Interpretative Phenomenological Analysis (IPA) until thematic saturation. Results 3 overarching groupings and 5 superordinate themes were identified. Each superordinate theme is associated with several subordinate themes: Conclusions This is the first phenomenological qualitative study in CAWH patients. The themes presented are interrelated and should shape our understanding of QoL in CAWH. Current QoL tools do not incorporate all aspects identified by this study. Further research is needed in order to generate a standardised CAWH QoL instrument which incorporates bio-psycho-emotional-social processes important to patients as identified by patients.

Clinical and Functional Outcome After Abdominal Wall Incisional Hernia Repair: Evaluation of Quality-of-Life Improvement and Comparison of Assessment Scales

2019 ◽  
Vol 43 (8) ◽  
pp. 1914-1920 ◽  
Author(s):  
Leo Licari ◽  
Giovanni Guercio ◽  
Sofia Campanella ◽  
Gregorio Scerrino ◽  
Sebastiano Bonventre ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Functional Outcome ◽  
Abdominal Wall ◽  
Incisional Hernia Repair ◽  
Life Improvement ◽  
Assessment Scales

Operative Outcomes after Open Abdominal Wall Reconstruction with Retromuscular Mesh Fixation Using Fibrin Glue versus Transfascial Sutures

2017 ◽  
Vol 83 (9) ◽  
pp. 937-942 ◽  
Author(s):  
Adam S. Weltz ◽  
Udai S. Sibia ◽  
H. Reza Zahiri ◽  
Alexa Schoeneborn ◽  
Adrian Park ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Abdominal Wall ◽  
Fibrin Glue ◽  
Mesh Fixation ◽  
Abdominal Wall Reconstruction ◽  
Safe Alternative ◽  
Operative Outcomes ◽  
Fixation Techniques

Ideal fixation techniques have not been fully elucidated at the time of complex open abdominal wall reconstruction (AWR). We compared operative outcomes and quality of life with retromuscular mesh fixation using fibrin glue (FG) versus transfascial sutures (TS). Retrospective review identified complex hernia patients who underwent open AWR with mesh from November 2012 through April 2016. Multivariate analysis examined postoperative outcomes between groups. Quality of life was assessed using the Carolinas Comfort Scale. Seventy-five patients (18 FG vs 57 TS) with mean age (54.3 vs 53.9 years, P = 0.914), body mass index (35.8 vs 34.7 kg/m2, P = 0.623) and American Society of Anesthesiologist score (2.6 vs 2.5, P = 0.617) were reviewed. No differences in wound (P = 0.072) and nonwound (P = 0.639) related complications were noted between groups. Risk of reoperations (P = 0.275) and 30-day readmissions (P = 0.137) were also comparable. The TS group was twelve times more likely to report pain at six-month follow-up compared with FG (12.29 OR, 95 per cent confidence interval 1.26–120.35, P = 0.031). No hernia recurrences were noted in either group at a mean follow-up of 390 ± 330 days. The use of FG to secure mesh in the retromuscular space during complex open AWR may be a safe alternative to penetrating transfascial fixation with potential to reduce chronic pain.

scholarly journals Results of treatment of umbilical hernias with abdominal wall and urogenital perineum lifting in women with obesity and urinary incontinence

2019 ◽  
Vol 178 (4) ◽  
pp. 29-33
Author(s):  
B. S. Sukovatykh ◽  
N. M. Valujskaya ◽  
A. A. Netyaga ◽  
T. V. Mutova ◽  
V. A. Zhukovskiy
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Abdominal Wall ◽  
Group Treatment ◽  
Original Technique ◽  
Results Of Treatment ◽  
Psychological Component

The OBJECTIVE was to evaluate the effectiveness of the method developed in the clinic for the treatment of umbilical hernias with simultaneous lifting of the abdominal wall and the urogenital perineum in women. MATERIAL AND METHODS. The treatment of 40 patients suffering from umbilical hernias, abdominal ptosis and stress urinary incontinence was analyzed. The patients were divided into 2 groups of 20 people. In the first group, treatment was carried out by supaponeurotic endoprosthesis replacement of the umbilical ring of the abdominal wall, and in the second group – with simultaneous lifting of the abdominal wall and the urogenital perineum. RESULTS. Integral indicators of the quality of life of patients in the second group were 1.3 times higher than in patients in the first group by physical component, and 1.2 times – by psychological component. CONCLUSION. The original technique was effective and pathogenetically supported.

scholarly journals Technical Considerations in Stoma Creation

2017 ◽  
Vol 30 (03) ◽  
pp. 162-171 ◽  
Author(s):  
Alia Whitehead ◽  
Peter Cataldo
Keyword(s):  
Quality Of Life ◽  
Abdominal Wall ◽  
Preoperative Planning ◽  
Intestinal Segment ◽  
High Quality ◽  
Stoma Creation ◽  
Patient Will ◽  
Intestinal Stoma ◽  
Technical Considerations

AbstractCreating an intestinal stoma is commonly the final aspect of an often emergent and complicated operation under difficult circumstances. While creation of a protruding, tension-free, and well-vascularized stoma is often straightforward, one must be prepared for challenging situations such as a thick abdominal wall and short, thickened mesentery. A successful stoma starts with attentive preoperative planning including site marking, thoughtful consideration of alternatives, and attention to technical detail. The tips provided in this article should facilitate the process of selecting the appropriate intestinal segment, identifying the correct stoma site, and creating a functional stoma even in the most challenging situations. Constructing a high-quality stoma will decrease complications and improve the patient's quality of life. Stoma creation is frequently the only component of an operation that the patient will have to live with for the remainder of his/her life.

Abdominal Wall Reconstruction for Incisional Hernia Optimizes Truncal Function and Quality of Life

2017 ◽  
Vol 265 (6) ◽  
pp. 1235-1240 ◽  
Author(s):  
Kristian K. Jensen ◽  
Kanzah Munim ◽  
Michael Kjaer ◽  
Lars N. Jorgensen
Keyword(s):  
Quality Of Life ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Abdominal Wall Reconstruction

Functional abdominal wall reconstruction improves core physiology and quality-of-life

Surgery ◽  
2014 ◽  
Vol 156 (1) ◽  
pp. 176-182 ◽  
Author(s):  
Cory N. Criss ◽  
Clayton C. Petro ◽  
David M. Krpata ◽  
Christina M. Seafler ◽  
Nicola Lai ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Abdominal Wall ◽  
Abdominal Wall Reconstruction
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