Comparing Quality-of-Life Outcomes in Symptomatic Patients Undergoing Laparoscopic or Open Ventral Hernia Repair

Hope, William W.; Lincourt, Amy E.; Newcomb, William L.; Schmelzer, Thomas M.; Kercher, Kent W.; Heniford, B. Todd

doi:10.1089/lap.2007.0192

Cited by 52 publications

(33 citation statements)

References 35 publications

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“…In a study utilizing the IHMR, Colavita et al [10] directly compared LVHR and OVHR for postoperative outcomes and found LVHR to be associated with increased discomfort, movement limitation, and overall symptoms at 1 mo compared with OVHR; however, LVHR resulted in shorter LOS and fewer infections. Contrarily, in a small group of patients, Hope et al [14] found improved postoperative SF-36 and CCS scores associated with LVHR over OVHR in their study of symptomatic ventral hernias; however, defect specifics were not contrasted. Additionally, Itani et al [15] compared the two techniques and found the mean pain score in LVHR to be significantly lower than OVHR at 1-y postoperative follow-up.…”

Section: Discussionmentioning

confidence: 94%

Does ventral hernia defect length, width, or area predict postoperative quality of life? Answers from a prospective, international study

Wormer

Walters

Bradley

et al. 2013

Journal of Surgical Research

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Section: Discussionmentioning

confidence: 94%

Does ventral hernia defect length, width, or area predict postoperative quality of life? Answers from a prospective, international study

Wormer

Walters

Bradley

et al. 2013

Journal of Surgical Research

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“…Quality of life is not measured directly but is commonly sampled by using measurement scales in the form of questionnaires. Patient-centered measures of outcome, measuring quality of life after various interventions, have been developed and advocated for use in evaluating treatment efficiency [11][12][13][14]. There are few randomized controlled trials that evaluated quality of life as the primary outcome following laparoscopic and open mesh repair of inguinal hernia.…”

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confidence: 99%

Testicular functions, chronic groin pain, and quality of life after laparoscopic and open mesh repair of inguinal hernia: a prospective randomized controlled trial

et al. 2011

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“…This suggests that the CCS may be sensitive mainly in relatively symptomatic patient groups, such as Hope et al's. 8 See Figure 1.…”

Section: Study Limitationsmentioning

confidence: 99%

Measurement issues when assessing quality of life outcomes for different types of hernia mesh repair

Záborszky

Gyanti

Barry

et al. 2011

annals

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INTRODUCTION The NHS is required to collect data from patient reported outcome measures (PROMs) for inguinal hernia surgery. We explored the use of one such measure, the Carolinas Comfort Scale® (CCS), to compare long-term outcomes for patients who received two different types of mesh. The CCS questionnaire asks about mesh sensation, pain and movement limitations, and combines the answers into a total score. PATIENTS AND METHODS A total of 684 patients were treated between January 2007 and August 2008 and were followed up in November 2009. RESULTS Data on 215 patients who met the inclusion criteria were available (96 patients who received Surgipro™ mesh and 119 who received Parietene™ Progrip™ mesh). Recurrence rates were similar in the Surgipro™ group (2/96, 2.1%) and Progrip™ group (3/118, 2.5%) (Fisher's exact test = 1.0). Chronic pain occurred less frequently in the Surgipro™ group (11/95, 11.6%) than in the Progrip™ group (22/118, 18.6%) (p<0.157). Overall, 90% of CCS total scores indicated a good outcome (scores of 10 or less out of 115). A principal component analysis of the CCS found that responses clustered into two subscales: ‘mesh sensation’ and ‘pain+movement limitations’. The Progrip™ group had a slightly higher mesh sensation score (p<0.051) and similar pain+movement limitations scores (p<0.120). CONCLUSIONS In this study of quality of life outcomes related to different mesh types, the CCS subscales were more sensitive to differences in outcome than the total CCS score for the whole questionnaire. Future research should consider using the CCS subscales rather than the CCS total score.

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Comparing Quality-of-Life Outcomes in Symptomatic Patients Undergoing Laparoscopic or Open Ventral Hernia Repair

Abstract: Laparoscopic ventral hernia repair provides improved quality-of-life, compared with open repair, 6 months postoperatively. Nearly all physical variables measured by the CCS were significantly better when ventral hernias were repaired laparoscopically.

Cited by 52 publications

References 35 publications

Does ventral hernia defect length, width, or area predict postoperative quality of life? Answers from a prospective, international study

Does ventral hernia defect length, width, or area predict postoperative quality of life? Answers from a prospective, international study

Testicular functions, chronic groin pain, and quality of life after laparoscopic and open mesh repair of inguinal hernia: a prospective randomized controlled trial

Measurement issues when assessing quality of life outcomes for different types of hernia mesh repair

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