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Surgical Endoscopy

, Volume 12, Issue 11, pp 1334–1340 | Cite as

Cosmesis and body image after laparoscopic-assisted and open ileocolic resection for Crohn's disease

  • M. S. Dunker
  • A. M. Stiggelbout
  • R. A. van Hogezand
  • J. Ringers
  • G. Griffioen
  • W. A. Bemelman
Article

Abstract

Background: The objectives of this study were to evaluate body image, cosmetic results, and quality of life in patients with Crohn's disease of the terminal ileum who had either laparoscopic-assisted or open ileocolic resection, and to determine how patients experienced the pre- and postoperative periods after both procedures.

Methods: Thirty-four patients participated: 11 patients after open resection (OR), 11 patients after laparoscopic-assisted resection (LR), and 12 patients without resection (WR). Retrospectively, the patients filled out several questionnaires pertaining to body image, hospital experiences, and quality of life. One-way analysis of variance, Student's t-tests, and Pearson's correlation were used for statistical analysis.

Results: The cosmetic score was significantly higher in the LR than in the OR group (p < 0.01). Body image correlated strongly with cosmesis and with quality of life. The hospital experiences of the laparoscopic and open groups were similar.

Conclusions: Laparoscopic surgery was associated with better cosmesis than open surgery. Patients do not experience laparoscopic surgery any differently from open surgery.

Key words: IBD — Body image — Cosmesis — Laparoscopic surgery — Laparotomy — Quality of life 

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Copyright information

© Springer-Verlag New York Inc. 1998

Authors and Affiliations

  • M. S. Dunker
    • 1
  • A. M. Stiggelbout
    • 2
  • R. A. van Hogezand
    • 3
  • J. Ringers
    • 1
  • G. Griffioen
    • 3
  • W. A. Bemelman
    • 1
  1. 1.Department of Gastrointestinal Surgery, Leiden University Medical Hospital Center, Post Office Box 9600, 2300 RC Leiden, The NetherlandsThe Netherlands
  2. 2.Department of Medical Decision Making, Leiden University Medical Hospital Center, Post Office Box 9600, 2300 RC Leiden, The NetherlandsThe Netherlands
  3. 3.Department of Hepatogastroenterology, Leiden University Medical Hospital Center, Post Office Box 9600, 2300 RC Leiden, The NetherlandsThe Netherlands

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