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The quality of life after laparoscopic ventral and incisional hernia repair with closure and non-closure of fascial defect

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Abstract

Purpose

In this retrospective, non-randomized study, we compared the quality of life (QOL) of patients who underwent laparoscopic ventral and incisional hernia repair (LVIHR) with fascial defect closure or non-defect closure and examined the factors associated with the QOL after LVIHR.

Methods

Between February 2013 and 2016, we conducted a single-center, follow-up study of 33 consecutive midline hernia patients who underwent LVIHR. Overall, 14 cases underwent intraperitoneal onlay mesh repair (IPOM), and 19 underwent IPOM with fascial defect closure (IPOM-plus). Patients were interviewed using the 36-item Short Form Health Survey (SF-36) to assess their pre- and postoperative QOL (at 1, 3, 6, and 12 months after surgery). The QOL, as assessed by the SF-36, was compared before and at 1 year after surgery, and the risk factors associated with the QOL were examined.

Results

Overall, scores for 5 of the 8 domains and 1 of the 3 components of SF-36 had improved by 1 year after surgery compared with before surgery. The scores for the SF-36 domains and components at 1 year post-surgery were comparable in patients undergoing IPOM or IPOM-plus. Obesity, operative time, hernia size, and mesh size were factors correlated with the QOL.

Conclusions

LVIHR improved the QOL, regardless of defect closure.

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Authors and Affiliations

  1. Department of Surgery, Tohoku Rosai Hospital, 4-3-21 Dainohara, Aoba-ku, Sendai, Miyagi, 981-8563, Japan

    Fumito Saijo, Hiromi Tokumura, Yoichi Narushima, Naoki Matsumura, Kaoru Sato & Yukari Okazaki

Authors
  1. Fumito Saijo
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  2. Hiromi Tokumura
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  3. Yoichi Narushima
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  4. Naoki Matsumura
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  5. Kaoru Sato
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  6. Yukari Okazaki
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Correspondence to Fumito Saijo.

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Saijo, F., Tokumura, H., Narushima, Y. et al. The quality of life after laparoscopic ventral and incisional hernia repair with closure and non-closure of fascial defect. Surg Today 49, 942–947 (2019). https://doi.org/10.1007/s00595-019-01834-5

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  • DOI: https://doi.org/10.1007/s00595-019-01834-5

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