Quality of life of in patients submitted to anterior abdominal wall laparoscopic hernioplasty

Ricardo Zugaib Abdalla,Rodrigo Biscuola Garcia,Beatrice Martinez Zugaib Abdalla,Danniel Frade Said

doi:10.1590/s0102-67202014000100008

Ricardo Zugaib Abdalla, Rodrigo Biscuola Garcia + Show 2 more

Open Access

https://doi.org/10.1590/s0102-67202014000100008

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Abstract

BackgroundThe laparoscopic ventral hernia repair technique made possible surgeries with smaller skin incisions and smaller dissection of the soft tissue around the hernia, therefore with a better wound, a quicker postoperative recovery and a lower complication rate.AimTo evaluate the applicability of a quality of life survey based on the molds of the American Hernia Society, European Hernia Society and Carolinas Equation for Quality of Life, through telephone in patients submitted to laparoscopic hernioplasty by IPOM technique.MethodsA retrospective cohort study was made to evaluate the quality of life of 21 patients that underwent anterior abdominal wall laparoscopic hernioplasty by intraperitoneal onlay mesh technique. Questionnaire was applied through telephone.ResultsOf the 21 patients, 19% felt that the hernia recurred. Also 19% passed through another abdominal wall surgery, and among these, 75% was related to the previously hernia correction. Finally, 81% of patients did not undergo any other abdominal wall surgery.ConclusionIt was possible to apply the quality of life questionnary by telephone on patients who underwent an anterior abdominal wall. The results, in its turn, were satisfactory and showed that patients, in general, were satisfied with the surgical procedure.

Highlights

The anterior abdominal wall hernias may be congenital or acquired
In the 90s, when LeBlanc and Booth described the mesh bridged laparoscopic hernioplasty technique, in which hernia recurrence remained around 10%, similar to the open mesh hernioplasty[1,8]. It seems that laparoscopic technique has several advantages over traditional open surgery technique, such as shorter hospital stay, with a two day average[6,14], and reduction in wound complications, such as infections, due to less soft tissue dissection around the hernia[5]
In May 2013 contact of these patients through telephone was attempted for the application of a quality of life questionnaire based on the American Hernia Society, European Hernia Society and Carolinas Equation for Quality of Life[2,9,12]

Summary

Introduction

The anterior abdominal wall hernias (epigastric, ventral, umbilical, incisional) may be congenital or acquired. In the 90s, when LeBlanc and Booth described the mesh bridged laparoscopic hernioplasty technique, in which hernia recurrence remained around 10%, similar to the open mesh hernioplasty[1,8]. It seems that laparoscopic technique has several advantages over traditional open surgery technique, such as shorter hospital stay, with a two day average[6,14], and reduction in wound complications, such as infections, due to less soft tissue dissection around the hernia[5]. A laparoscopic approach allows smaller incisions, being three in average, where two are 5 mm and one 10 mm[11], providing a more acceptable esthetics than open surgery, where incision depends on hernia size

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Discussion

Conclusion