Evaluating patient outcomes and quality of life following laparoscopic extended totally extraperitoneal repair for ventral hernia: A prospective study
Abstract BACKGROUND: Various laparoscopic techniques have been developed for the repair of ventral and incisional hernias. There is a never-ending debate regarding the best procedure for hernia repair. Moreover, very few studies have studied the Quality of Life (QOL) in these patients. This study is...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | International Journal of Abdominal Wall and Hernia Surgery |
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| Online Access: | https://doi.org/10.4103/ijawhs.ijawhs_76_23 |
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| author | Cuddapah Manoj Krishna Pothula Rajendra Vamsi Krishna Vembuluru Dwarakanath Reddy Dhaval Patel Bonny Natesh |
| author_facet | Cuddapah Manoj Krishna Pothula Rajendra Vamsi Krishna Vembuluru Dwarakanath Reddy Dhaval Patel Bonny Natesh |
| author_sort | Cuddapah Manoj Krishna |
| collection | DOAJ |
| description | Abstract BACKGROUND: Various laparoscopic techniques have been developed for the repair of ventral and incisional hernias. There is a never-ending debate regarding the best procedure for hernia repair. Moreover, very few studies have studied the Quality of Life (QOL) in these patients. This study is aimed at analyzing the various perioperative outcomes following the laparoscopic extended totally extraperitoneal (eTEP) approach for ventral hernias and QOL. MATERIALS AND METHODS: This prospective study was conducted in the Department of Surgical Gastroenterology at a tertiary care hospital in India. The study analyzed patient demographics, hernia characteristics, perioperative outcomes, postoperative complications, and QOL measured by the Carolinas Comfort Scale. RESULTS: The study enrolled 34 patients and analyzed hernia characteristics and perioperative outcomes. QOL scores, measured by the Carolinas Comfort Scale, were assessed at 1-month and 6-month intervals post-surgery. At 1 month, scores for mesh sensation, pain, movement limitation, and the total score were 8.85, 4.26, 0.06, and 13.18, respectively. At 6 months, these scores improved significantly to 0.76, 0.18, 0, and 0.94. CONCLUSION: eTEP is associated with less postoperative pain, short hospitalization periods, and low recurrence rates. Furthermore, it offers cost-effectiveness by employing a standard prolene mesh without requiring fixation. eTEP improves the QOL in patients undergoing repair for ventral hernias. |
| format | Article |
| id | doaj-art-e99b3fc5391a46c0b9591f98e3d45a95 |
| institution | Kabale University |
| issn | 2589-8736 2589-8078 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Abdominal Wall and Hernia Surgery |
| spelling | doaj-art-e99b3fc5391a46c0b9591f98e3d45a952025-01-25T09:59:37ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-87362589-80782024-01-0171243010.4103/ijawhs.ijawhs_76_23Evaluating patient outcomes and quality of life following laparoscopic extended totally extraperitoneal repair for ventral hernia: A prospective studyCuddapah Manoj KrishnaPothula Rajendra Vamsi KrishnaVembuluru Dwarakanath ReddyDhaval PatelBonny NateshAbstract BACKGROUND: Various laparoscopic techniques have been developed for the repair of ventral and incisional hernias. There is a never-ending debate regarding the best procedure for hernia repair. Moreover, very few studies have studied the Quality of Life (QOL) in these patients. This study is aimed at analyzing the various perioperative outcomes following the laparoscopic extended totally extraperitoneal (eTEP) approach for ventral hernias and QOL. MATERIALS AND METHODS: This prospective study was conducted in the Department of Surgical Gastroenterology at a tertiary care hospital in India. The study analyzed patient demographics, hernia characteristics, perioperative outcomes, postoperative complications, and QOL measured by the Carolinas Comfort Scale. RESULTS: The study enrolled 34 patients and analyzed hernia characteristics and perioperative outcomes. QOL scores, measured by the Carolinas Comfort Scale, were assessed at 1-month and 6-month intervals post-surgery. At 1 month, scores for mesh sensation, pain, movement limitation, and the total score were 8.85, 4.26, 0.06, and 13.18, respectively. At 6 months, these scores improved significantly to 0.76, 0.18, 0, and 0.94. CONCLUSION: eTEP is associated with less postoperative pain, short hospitalization periods, and low recurrence rates. Furthermore, it offers cost-effectiveness by employing a standard prolene mesh without requiring fixation. eTEP improves the QOL in patients undergoing repair for ventral hernias.https://doi.org/10.4103/ijawhs.ijawhs_76_23carolinas comfort scaleipomlaparoscopic etepperioperative outcomesquality of lifeventral hernias |
| spellingShingle | Cuddapah Manoj Krishna Pothula Rajendra Vamsi Krishna Vembuluru Dwarakanath Reddy Dhaval Patel Bonny Natesh Evaluating patient outcomes and quality of life following laparoscopic extended totally extraperitoneal repair for ventral hernia: A prospective study International Journal of Abdominal Wall and Hernia Surgery carolinas comfort scale ipom laparoscopic etep perioperative outcomes quality of life ventral hernias |
| title | Evaluating patient outcomes and quality of life following laparoscopic extended totally extraperitoneal repair for ventral hernia: A prospective study |
| title_full | Evaluating patient outcomes and quality of life following laparoscopic extended totally extraperitoneal repair for ventral hernia: A prospective study |
| title_fullStr | Evaluating patient outcomes and quality of life following laparoscopic extended totally extraperitoneal repair for ventral hernia: A prospective study |
| title_full_unstemmed | Evaluating patient outcomes and quality of life following laparoscopic extended totally extraperitoneal repair for ventral hernia: A prospective study |
| title_short | Evaluating patient outcomes and quality of life following laparoscopic extended totally extraperitoneal repair for ventral hernia: A prospective study |
| title_sort | evaluating patient outcomes and quality of life following laparoscopic extended totally extraperitoneal repair for ventral hernia a prospective study |
| topic | carolinas comfort scale ipom laparoscopic etep perioperative outcomes quality of life ventral hernias |
| url | https://doi.org/10.4103/ijawhs.ijawhs_76_23 |
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