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



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.


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.


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.


LVIHR improved the QOL, regardless of defect closure.


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


Compliance with ethical standards

Conflict of interest

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


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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

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