Quality of life changes after inguinal hernia repair using anterior rectus sheath: a preliminary study

Horžić, Matija and Kopljar, Mario and Ćupurdija, Kristijan and Skupnjak, Maja and Korica, Jelena and Lacković, Željko and Vanjak-Bielen, Đana and Patrlj, Leonardo (2006) Quality of life changes after inguinal hernia repair using anterior rectus sheath: a preliminary study. Collegium Antropologicum, 30 (2). pp. 349-353. ISSN 0350-6134

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Abstract

Chronic pain is the most serious long-term complication after groin hernia repair. The aim of this preliminary research was to assess the quality of life before and after standard tension-free mesh repair and new method of tension-free inguinal hernia repair using anterior rectus sheath. Total of 62 patients were evaluated. Anterior rectus sheath method was performed in 29 patients and in 33 patients standard mesh repair was used (Lichtenstein repair). Quality of life was assessed before and after the surgery using short-form SF-36 questionnaire (QualityMetric Inc.), adjusted for Croatian language. There were statistically significant improvements in bodily pain and general health scores in both groups. Patients operated using mesh technique also demonstrated statistically significant improvements in social functioning and emotional role. Similarly, patients in whom inguinal hernia was repaired using anterior rectus sheath had significantly better postoperative scores for physical functioning and role physical scores. Quality of life assessment demonstrated good ability to differentiate between several independent aspects of quality of life. Anterior rectus sheath repair significantly improved quality of life and was shown to be similar to mesh repair in the aspect of physical functioning.

Abstract in Croatian

Kronična bol je najozbiljnija dugoročna komplikacija nakon operacije preponske kile. Cilj ovog preliminarnog istraživanja je procijeniti kvalitetu života prije i nakon standardne »tension-free« hernioplastike uz pomoć mrežice i nove »tension-free« hernioplastike uz pomoć prednje ovojnice rektusa. U istraživanje su bila uključena 62 pacijenta. Metoda uz pomoć prednje ovojnice rektusa primijenjena je kod 29 pacijenata, a standardna metoda hernioplastike uz pomoć mrežice (tzv. Lichenstein) kod 33 pacijenta. Kvaliteta života ispitivana je prije i nakon operacije putem SF-36 upitnika (QualityMetric Inc.), prevedenim na hrvatski. Statistički značajno poboljšanje tjelesne boli i općeg stanja uočeno je u objema grupama. Pacijenti koji su podvrgnuti hernioplastici uz pomoć mrežice pokazali su statistički značajno poboljšanje u društevnom funkcioniranju i emocionalnom aspektu. Slično tome, pacijenti koji su operirani upotrebom prednje ovojnice rektusa, pokazali su značajno bolje postoperativne rezultate u fizičkoj spremi i fizičkom funkcioniranju. Procjena kvalitete života pokazala se izuzetno kvalitetnom u razlikovanju nekoliko nezavisnih aspekata kvalitete života. Upotreba prednje ovojnice rektusa u hernioplastici značajno je poboljšala kvalitetu života, a u fizičkom aspektu kvalitete života dala je slične rezultate kao i standardna hernioplastika uz pomoć mrežice.

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