Advertisement

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

  • Fumito SaijoEmail author
  • Hiromi Tokumura
  • Yoichi Narushima
  • Naoki Matsumura
  • Kaoru Sato
  • Yukari Okazaki
Original Article
  • 62 Downloads

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.

Keywords

Ventral and incisional hernia Defect closure SF-36 Quality of life 

Notes

Compliance with ethical standards

Conflict of interest

None of the authors have any conflicts of interest to declare.

References

  1. 1.
    LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3:39–41.Google Scholar
  2. 2.
    Suwa K, Okamoto T, Yanaga K. Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature. Surg Today. 2016;46:764–73.CrossRefGoogle Scholar
  3. 3.
    Fukuhara S, Bito S, Green J, Hsiao A, Kurokawa K. Translation, adaptation, and validation of the SF-36 Health Survey for use in Japan. J Clin Epidemiol. 1998;51:1037–44.CrossRefGoogle Scholar
  4. 4.
    Fukuhara S, Ware JE Jr, Kosinski M, Wada S, Gandek B. Psychometric and clinical tests of validity of the Japanese SF-36 Health Survey. J Clin Epidemiol. 1998;51:1045–53.CrossRefGoogle Scholar
  5. 5.
    Franklin ME Jr, Gonzalez JJ Jr, Glass JL, Manjarrez A. Laparoscopic ventral and incisional hernia repair: an 11-year experience. Hernia. 2004;8:23–7.CrossRefGoogle Scholar
  6. 6.
    Banerjee A, Beck C, Narula VK, Linn J, Noria S, Zagol B, et al. Laparoscopic ventral hernia repair: does primary repair in addition to placement of mesh decrease recurrence? Surg Endosc. 2012;26:1264–8.CrossRefGoogle Scholar
  7. 7.
    Rogmark P, Petersson U, Bringman S, Eklund A, Ezra E, Sevonius D, et al. Short-term outcomes for open and laparoscopic midline incisional hernia repair: a randomized multicenter controlled trial: the ProLOVE (prospective randomized trial on open versus laparoscopic operation of ventral eventrations) trial. Ann Surg. 2013;258:37–45.CrossRefGoogle Scholar
  8. 8.
    Chelala E, Thoma M, Tatete B, Lemye AC, Dessily M, Alle JL. The suturing concept for laparoscopic mesh fixation in ventral and incisional hernia repair: mid-term analysis of 400 cases. Surg Endosc. 2007;21:391–5.CrossRefGoogle Scholar
  9. 9.
    Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])—part 2. Surg Endosc. 2014;28:353–79.CrossRefGoogle Scholar
  10. 10.
    Earle D, Roth JS, Saber A, Haggerty S, Bradley JF, Fanelli R, et al. SAGES guidelines for laparoscopic ventral hernia repair. Surg Endosc. 2016;30:3163–83.CrossRefGoogle Scholar
  11. 11.
    Clapp ML, Hicks SC, Awad SS, Liang MK. Trans-cutaneous closure of central defects (TCCD) in laparoscopic ventral hernia repairs (LVHR). World J Surg. 2013;37:42–51.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Fumito Saijo
    • 1
    Email author
  • Hiromi Tokumura
    • 1
  • Yoichi Narushima
    • 1
  • Naoki Matsumura
    • 1
  • Kaoru Sato
    • 1
  • Yukari Okazaki
    • 1
  1. 1.Department of SurgeryTohoku Rosai HospitalSendaiJapan

Personalised recommendations