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Outcomes of open intraperitoneal incisional hernia repair based on patient-reported outcomes

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Abstract

Purpose

The outcomes of open incisional hernia repair from the patients’ point of view have variations over time, and only continuous follow-up would reflect the real outcomes. The purpose of this study is to validate a standard measurement instrument in the form of a questionnaire to report the evolutionary outcomes of a specific open technique to repair incisional hernias.

Methods

Prospective study follows up a cohort of 82 consecutive patients submitted to elective intraperitoneal open hernioplasty of midline incisional hernias. The follow-up consisted in an interview and physical examination 30 days after surgery, at 6 months, 1 year, 2 years, 3 years, and 4 years. Primary outcome measure was reporting the outcomes of hernia repair according to a standardized scale obtained from a questionnaire.

Results

There was no correlation between complications suffered by patients and score results (p = 0.722). The length of hospital stay was 6.5 ± 4.3 days, and a prolonged hospital stay was related to complications (p = 0.002) and did not influence the score results (p = 0.365). The final score demonstrated that patients had a very good impression on this procedure 1 month after surgery (p = 0.003). This impression shifted to an excellent perception 1 year after surgery remaining similar until the last control (p < 0.0001).

Conclusions

In this series, the intraperitoneal hernioplasty was a procedure associated with minor morbidity and without recurrences 4 years after the operation. The outcomes from the patients’ point of view were excellent 1 year after the procedure with a tendency to improve in the long term.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Hernia Surgical Unit, Department of Surgery, Hospital de La Serena, Manuel Antonio Caro 2629, P.O. Box 912, La Serena, IV Region, Chile

    M. A. Beltrán

  2. Medical School, Universidad Católica del Norte, La Serena, Chile

    M. A. Beltrán, M.-P. Rioseco, M. Molina, A. Vera & F. R. Arcos

Authors
  1. M. A. Beltrán
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  2. M.-P. Rioseco
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  3. M. Molina
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  4. A. Vera
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  5. F. R. Arcos
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Corresponding author

Correspondence to M. A. Beltrán.

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Beltrán, M.A., Rioseco, MP., Molina, M. et al. Outcomes of open intraperitoneal incisional hernia repair based on patient-reported outcomes. Hernia 18, 47–55 (2014). https://doi.org/10.1007/s10029-012-1041-z

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  • DOI: https://doi.org/10.1007/s10029-012-1041-z

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