Abstract
Due to advances in medical science, the frequency of surgical interventions that once ended in end-stoma formation has decreased significantly. An ostomy is a life-saving surgery performed when there are no other options. Unfortunately, the number of patients with life-threatening conditions requiring colostomy or ileostomy is growing. A stoma in itself is a cause of social alienation; stoma-associated complications reduce the quality of life and debilitate the patient. The aim of this study was to assess the effectiveness of hybrid intraperitoneal mesh repair of paracolostomy hernia using a modified EUROQOL 5D-5L questionnaire. Sixty patients with paracolostomy hernias included in the study were divided in 2 groups (30 persons per group). The experimental group (10 (33%) men and 20 (67%) women) and the control group (11 (37%) men and 19 (63%) women) were comparable in terms of sex (р = 0.787) and age (66.5 (62.2; 72.0) years vs. 65.0 (61.25; 71.75) years, respectively; р = 0.246). Patients included in the control group underwent a classic Sugarbaker procedure; the experimental group underwent hybrid intraperitoneal mesh repair. The quality of life of the patients was evaluated before surgery and then 1 and 2 years after surgery using a modified EUROQOL 5D-5L questionnaire. Hybrid intraperitoneal mesh repair proved to be effective in the early and late postoperative periods. Based on the significant improvement of the patients’ quality of life after hybrid intraperitoneal mesh repair, we conclude that this technique is an effective surgical treatment for paracolostomy hernias.
Highlights
Due to advances in medical science, the frequency of surgical interventions that once ended in end-stoma formation has decreased significantly
Preoperative median values of the crosswalk index were comparable between the groups: 0.56 (0.42; 0.69) in the experimental group and 0.46 (0.29; 0;68) in the control group (р = 0.113)
Median VAS scores calculated before surgery were comparable: 52.5 (41.25; 67.5) in the experimental group and 47.5 (40.0; 60.0) in the control group (р = 0.156)
Summary
Due to advances in medical science, the frequency of surgical interventions that once ended in end-stoma formation has decreased significantly. The aim of this study was to assess the effectiveness of hybrid intraperitoneal mesh repair of paracolostomy hernia using a modified EUROQOL 5D-5L questionnaire. Patients included in the control group underwent a classic Sugarbaker procedure; the experimental group underwent hybrid intraperitoneal mesh repair. Based on the significant improvement of the patients’ quality of life after hybrid intraperitoneal mesh repair, we conclude that this technique is an effective surgical treatment for paracolostomy hernias. Целью исследования было оценить эффективность применения операции гибридной интраперитонеальной аллопластики параколостомических грыж при помощи оценки качества жизни пациентов на основании опросника EUROQOL 5D-5L. Оценку качества жизни пациентов до операции, через год и через два года после нее осуществляли при помощи опросника EUROQOL 5D-5L. На основании значительного улучшения качества жизни пациентов после гибридной интраперитонеальной аллопластики можно сделать вывод о том, что эта операция является эффективным методом хирургического лечения пациентов с параколостомическими грыжами
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