A prospective, multicenter, observational study on quality of life after laparoscopic inguinal hernia repair with ProGrip laparoscopic, self-fixating mesh according to the European Registry for Abdominal Wall Hernias Quality of Life Instrument

Muysoms, Filip; Vanlander, Aude; Ceulemans, R.; Kyle-Leinhase, I.; Michiels, Maarten; Jacobs, I.; Pletinckx, Pieter; Berrevoet, Frederik

doi:10.1016/j.surg.2016.04.026

Cited by 94 publications

(66 citation statements)

References 22 publications

(31 reference statements)

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“…With hernia removal the pain subsides or is markedly reduced, as is pain-related physical restriction. Our results are confirmed in the reports of other authors where TEP-IHR is also given a high rating [11,13,16,17].…”

Section: Discussionsupporting

confidence: 91%

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Totally extraperitoneal inguinal hernia repair with or without fixation leads to similar results. Outcome of randomized prospective trial.

Pielaciński

Puła

Wróblewski

et al. 2019

Videosurgery and Other Miniinvasive Techniques

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A b s t r a c tIntroduction: The use of implants in inguinal hernia repair has reduced its recurrence rate. However, postoperative groin pain still remains an unresolved problem. There are suggestions that in totally extraperitoneal inguinal hernia repair (TEP-IHR) two of the likely factors responsible for pain are use of fixation and the type of fixation used. Aim: To evaluate the impact of mesh fixation on the incidence of postoperative pain, restriction of physical activities, hernia recurrence risk, return to normal activities and demand for analgesics in patients after unilateral TEP-IHR. Material and methods: Unilateral TEP-IHR was performed in 139 male patients randomized to three groups: self-gripping mesh (SG), lightweight mesh (L) and lightweight mesh with fixation (LF). Full study-inclusion criteria were met by 110 patients; 43, 18 and 49 in groups SG, L and LF respectively. Follow-up occurred on the 1 st , 2 nd , and 7 th day and 3, 6, 12 months postoperatively. The numeric rating scale (NRS) was used to assess pain and the EuraHS-QoL (European Registry for Abdominal Wall Hernias Quality of Life Score) questionnaire to compare quality of life (QoL) prior to surgery and one year later. Results: No statistically significant differences were observed between study groups with regard to the incidence rate and intensity of acute post-operative pain, chronic pain, analgesic demand, return to normal activity, hernia recurrence rate and post-operative QoL. Conclusions: Lack of fixation in TEP-IHR does not increase the risk of hernia recurrence, and its presence does not significantly worsen the treatment results; especially it does not increase the incidence of chronic pain.

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Section: Discussionsupporting

confidence: 91%

“…For many of the examined men, the esthetic/cosmetic aspect was of no importance so the "Esthetic discomfort" grades were dropped. As consequence, the EuraHS-QoL scale range was reduced from 0-90 to 0-70 [13].…”

Section: Methodsmentioning

confidence: 98%

Totally extraperitoneal inguinal hernia repair with or without fixation leads to similar results. Outcome of randomized prospective trial.

Pielaciński

Puła

Wróblewski

et al. 2019

Videosurgery and Other Miniinvasive Techniques

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“…Evaluation of Patient reported outcome: Quality of Life. Several questionnaire are available for the task, the commission recommends EuraHSQoL[100] because is easy to be administered, is validated, effective, free to use, reliable[101] …”

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confidence: 99%

Defining the characteristics of certified hernia centers in Italy: The Italian society of hernia and abdominal wall surgery workgroup consensus on systematic reviews of the best available evidences

Stabilini

Cavallaro

Bocchi³

et al. 2018

International Journal of Surgery

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“…CCS validated questionnaire, consisting of 23 questions, for QOL assessment after repair of abdominal wall hernias to evaluate mesh sensation, pain, and movement limitation after hernia repair. 8 European Registry for Abdominal Wall Hernias (EuraHS-QOL) instrument is a short and valid patientreported outcome measurement, that asks only 9 questions across 3 domains: pain, restriction of activities, and cosmetic discomfort, following groin hernia repair and has been recently validated to assess QOL following laparoscopic inguinal hernia repair. 8 Thus, EuraHS-QOL (Appendix 1) scale was chosen in this study because it has fewer questions and simple for our patients to understand and answer.…”

Section: Introductionmentioning

confidence: 99%

Prospective comparison of post-operative quality of life (QOL) after laparoscopic total extra-peritoneal (TEP) and trans-abdominal pre-peritoneal (TAPP) repair of indirect inguinal hernia

et al. 2018

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Background: As the laparoscopic method is becoming a popular choice of repair, the need to evaluate its impact on the patient’s quality of life (QOL) is also warranted. This study was undertaken to compare post operative QOL in patients undergoing Totally Extraperitoneal (TEP) and Transabdominal preperitoneal (TAPP) repair for indirect inguinal hernia.Methods: This prospective observational study was conducted in the Department of General Surgery at VMMC and Safdarjung Hospital, from June 2016 to March 2018. Patients with uncomplicated indirect inguinal hernia were included in the study after obtaining their informed consent. Post-operative QOL was evaluated using EuraHS-QOL scale at 24 hours and 1, 3 and 6 months after the surgery.Results: A total of sixty patients were enrolled-30 in TEP group and 30 in TAPP group. There was no statistical significant difference in scores at 24 hours follow-up except cosmetic discomfort domain, with higher scores in TAPP (p-value=0.014). Statistical significant difference was present at 1 month follow up with higher scores in TAPP (p-value=0.011). At 3 and 6 months, no statistical difference was found in the scores.Conclusions: Present study demonstrates a significant advantage of TEP over TAPP up to 1-month follow-up, in terms of post-operative QOL. Choosing a superior laparoscopic method between TEP and TAPP requires high powered RCTs with long term follow up to assess the technical advantages and post-operative complications along with post-operative quality of life in patients.

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A prospective, multicenter, observational study on quality of life after laparoscopic inguinal hernia repair with ProGrip laparoscopic, self-fixating mesh according to the European Registry for Abdominal Wall Hernias Quality of Life Instrument

Cited by 94 publications

References 22 publications

Totally extraperitoneal inguinal hernia repair with or without fixation leads to similar results. Outcome of randomized prospective trial.

Totally extraperitoneal inguinal hernia repair with or without fixation leads to similar results. Outcome of randomized prospective trial.

Defining the characteristics of certified hernia centers in Italy: The Italian society of hernia and abdominal wall surgery workgroup consensus on systematic reviews of the best available evidences

Prospective comparison of post-operative quality of life (QOL) after laparoscopic total extra-peritoneal (TEP) and trans-abdominal pre-peritoneal (TAPP) repair of indirect inguinal hernia

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