Short-Term Quality of Life Comparison of Laparoscopic, Open, and Robotic Incisional Hernia Repairs

Forester, Beau; Donovan, Kara; Kuchta, Kristine; Ujiki, Michael; Denham, Ervin W.; Carbray, JoAnn; Linn, John G.

doi:10.1016/j.jamcollsurg.2019.08.1068

Cited by 5 publications

(8 citation statements)

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“…However, the mesh sensation score was worse in patients with Rives-Stoppa hernia repair. The sensation score for component separation was at the same level as in a study conducted by Klima et al [24], while Forester et al Reported a slightly higher sensation score for open incisional hernia repair with mesh than it was revealed in our study [25]. The difference between these two groups in sensation may be due to the difference in the technique of these two types of operations.…”

Section: Discussionsupporting

confidence: 74%

Quality of Life Following Two Different Techniques of an Open Ventral Hernia Repair for Large Hernias: a Prospective Randomized Study

Antic

Kmezić

Nikolić

et al. 2021

Preprint

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Background: We compare the health-related quality of life (QoL) of patients with incision hernias before and after surgery with two different techniques.Methods: In this prospective randomized study, the study population consisted of all patients who underwent the first surgical incisional hernias repair during the 1-year study period. Patients who met the criteria for inclusion in the study were randomized into two groups: the first group consisted of patients operated by an open Rives sublay technique, and the second group included patients operated by a segregation component technique. The change in the quality of life before and 6 months after surgery was assessed using two general (Short form of SF-36 questionnaires and European Quality of Life Questionnaire - EQ-5D-3L), and three specific hernia questionnaires (Hernia Related Quality of Life Survey-HerQles, Eura HS Quality of Life Scale - EuraHS QoL, and Carolinas Comfort Scale – CCS).Results: A total of 93 patients were included in the study. Patients operated on by the Rives technique had a better role physical score before surgery, according to the SF-36 tool, although this was not found after surgery. The postoperative Qol measured with each scale of all questionnaires was significantly better after surgery. Comparing two groups of patients after surgery, only the pain domain of the EuraHS Qol questionnaire was worse in patients operated by a segregation component technique.Conclusion: Both techniques improve the quality of life after surgery. Generic QoL questionnaires showed no difference in the quality of life compared to repair technique but specific hernia-related questionnaires showed differences.

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Section: Discussionsupporting

confidence: 74%

Quality of Life Following Two Different Techniques of an Open Ventral Hernia Repair for Large Hernias: a Prospective Randomized Study

Antic

Kmezić

Nikolić

et al. 2021

Preprint

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“…In a total of 11 studies with 2320 patients, 1353 patients who underwent minimally invasive VHR with intraperitoneal mesh placement and 967 patients who underwent minimally invasive VHR with extraperitoneal mesh placement were included in the qualitative synthesis and quantitative synthesis (Fig. 1) [10,11,[14][15][16][17][18][19][20][21][22]. All patients had similar baseline characteristics (Table 1).…”

Section: Search Resultsmentioning

confidence: 99%

“…A common concern surrounding the mesh placement location debate is chronic pain in the intraperitoneal group. In this SRMA, four studies reported this outcome [11,16,18,21]. Owing to the small number of studies documenting this parameter as well as the inconsistencies in definitions, we could not perform a meta-analysis of this variable.…”

Section: Discussionmentioning

confidence: 99%

“…Hematoma outcome was reported in 10 studies (2257 patients) (Fig. 2c) [10,11,[14][15][16][17][18][20][21][22]. A total of 4 studies reported that patients in both groups did not experience any hematoma and were therefore excluded from the analysis.…”

Section: Hematomamentioning

confidence: 99%

“…A total 8 studies (866 patients) reported readmission rates (Fig. 2d) [14,15,[17][18][19][20][21][22]. A total of 1 study reported that patients in both groups were not readmitted during the course of follow-up and were therefore excluded from the analysis.…”

Section: Readmissionmentioning

confidence: 99%

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Intraperitoneal versus extraperitoneal mesh in minimally invasive ventral hernia repair: a systematic review and meta-analysis

Yeow

Wijerathne

Lomanto

2021

Hernia

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Purpose The ideal location for mesh placement in minimally invasive ventral hernia repair (VHR) is still up for debate. We undertook a systematic review and meta-analysis (SRMA) to evaluate the outcomes of patients who received intraperitoneal mesh versus those that received extraperitoneal mesh in minimally invasive VHR. Methods We searched PubMed, EMBASE, Cochrane, and Scopus from inception to May 3, 2021. We selected studies comparing intraperitoneal mesh versus extraperitoneal mesh placement in minimally invasive VHR. A meta-analysis was done for the outcomes of surgical site infection (SSI), seroma, hematoma, readmission, and recurrence. A subgroup analysis was conducted for a subset of studies comparing patients who have undergone intraperitoneal onlay mesh (IPOM) versus extended totally extraperitoneal approach (e-TEP). Results A total of 11 studies (2320 patients) were identified. We found no statistically significant difference between patients who received intraperitoneal versus extraperitoneal mesh for outcomes of SSI, seroma, hematoma, readmission, and recurrence [(RR 1.60, 95% CI 0.60-4.27), (RR 1.39, 95% CI 0.68-2.81), (RR 1.29, 95% CI 0.45-3.72), (RR 1.40, 95% CI 0.69-2.86), and (RR 1.22, 95% CI 0.22-6.63), respectively]. The subgroup analysis had findings similar to the overall analysis. Conclusion Based on short-term results, extraperitoneal mesh does not appear to be superior to intraperitoneal mesh in minimally invasive ventral hernia repair. The choice of mesh location should be based on the current evidence, surgeon, and center experience as well as individualized to each patient.

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Mesh in Elective Hernia Repair: 10-Year Experience with over 6,000 Patients

Attaar

Forester

Chirayil

et al. 2021

Journal of the American College of Surgeons

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Short-Term Quality of Life Comparison of Laparoscopic, Open, and Robotic Incisional Hernia Repairs

Cited by 5 publications

References 0 publications

Quality of Life Following Two Different Techniques of an Open Ventral Hernia Repair for Large Hernias: a Prospective Randomized Study

Quality of Life Following Two Different Techniques of an Open Ventral Hernia Repair for Large Hernias: a Prospective Randomized Study

Intraperitoneal versus extraperitoneal mesh in minimally invasive ventral hernia repair: a systematic review and meta-analysis

Mesh in Elective Hernia Repair: 10-Year Experience with over 6,000 Patients

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