G Onyekaba1,2, J T Mauch1,2, V Patel1,2, R B Broach1, S Thrippleton1, J P Fischer3. 1. Divison of Plastic Surgery, Department of Surgery, University of Pennsylvania, 51 North 39th Street, Wright Saunders Building, Philadelphia, PA, 19104, USA. 2. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. 3. Divison of Plastic Surgery, Department of Surgery, University of Pennsylvania, 51 North 39th Street, Wright Saunders Building, Philadelphia, PA, 19104, USA. John.Fischer2@pennmedicine.upenn.edu.
Abstract
PURPOSE: Ventral hernias (VH) are a common surgical problem associated with significant morbidity. While assessment tools have examined quality-of-life (QoL), the relative change in specific domains of hernia-related QoL measures from pre- to post-operative period has yet to be comprehensively examined. Using the Abdominal Hernia-Q (AHQ), this study aims to assess the impact of ventral hernia repair (VHR) on key components of QoL. METHODS: A retrospective chart review was conducted of patients undergoing VHR between September 2017 and September 2019 who had completed at least one pre- and post-operative AHQ. Post-operative intervals were created to capture AHQ responses around standard follow-up visits (< 1.5 months, 1.5-4.5 months, 4.5-11 months, and 11 + months) and scores were statistically analyzed. RESULTS: A total of 136 patients were included, with an average age of 54.8 years at the time of VHR. Compared to the pre-operative period, the appearance score increased significantly (p < 0.05). The physical domain score increased from < 1.5 month to the 1.5-4.5 month period (p = 0.03) and remained significantly higher in later time period. The appearance score decreased from the 1.5-4.5 month to 4.5-11 month period (p = 0.05). CONCLUSIONS: VHR leads to a sustained multi-dimensional increase in hernia-specific QoL measures during the post-operative course driven by early positive changes in appearance and sustained physical functioning. The initial increase in QoL is mainly driven by an improvement in appearance, while the sustained increase may be due to restored physical function.
PURPOSE: Ventral hernias (VH) are a common surgical problem associated with significant morbidity. While assessment tools have examined quality-of-life (QoL), the relative change in specific domains of hernia-related QoL measures from pre- to post-operative period has yet to be comprehensively examined. Using the Abdominal Hernia-Q (AHQ), this study aims to assess the impact of ventral hernia repair (VHR) on key components of QoL. METHODS: A retrospective chart review was conducted of patients undergoing VHR between September 2017 and September 2019 who had completed at least one pre- and post-operative AHQ. Post-operative intervals were created to capture AHQ responses around standard follow-up visits (< 1.5 months, 1.5-4.5 months, 4.5-11 months, and 11 + months) and scores were statistically analyzed. RESULTS: A total of 136 patients were included, with an average age of 54.8 years at the time of VHR. Compared to the pre-operative period, the appearance score increased significantly (p < 0.05). The physical domain score increased from < 1.5 month to the 1.5-4.5 month period (p = 0.03) and remained significantly higher in later time period. The appearance score decreased from the 1.5-4.5 month to 4.5-11 month period (p = 0.05). CONCLUSIONS: VHR leads to a sustained multi-dimensional increase in hernia-specific QoL measures during the post-operative course driven by early positive changes in appearance and sustained physical functioning. The initial increase in QoL is mainly driven by an improvement in appearance, while the sustained increase may be due to restored physical function.
Authors: Nikita M Patel; Filipe R M B Oliveira; Hanna Pillmann Ramos; Eleonora Aimaretti; Gustavo Ferreira Alves; Sina M Coldewey; Massimo Collino; Regina Sordi; Christoph Thiemermann Journal: Ann Surg Date: 2021-12-27 Impact factor: 12.969
Authors: Jaclyn T Mauch; Fabiola A Enriquez; Judy A Shea; Frances K Barg; Irfan A Rhemtulla; Robyn B Broach; Sheri L Thrippleton; John P Fischer Journal: Ann Surg Date: 2020-05 Impact factor: 12.969
Authors: Arnab Majumder; Joshua S Winder; Yuxiang Wen; Eric M Pauli; Igor Belyansky; Yuri W Novitsky Journal: Surgery Date: 2016-07-21 Impact factor: 3.982
Authors: T N Grove; L J Muirhead; S G Parker; D R L Brogden; S C Mills; C Kontovounisios; A C J Windsor; O J Warren Journal: Hernia Date: 2020-05-15 Impact factor: 4.739