Does quality of life improve after complex incisional hernia repair? A systematic review.

IF 2.6 2区医学 Q1 SURGERY

Hernia Pub Date : 2025-03-07 DOI:10.1007/s10029-025-03300-3

D L C de Jong, J A Wegdam, E H M Berkvens, T S de Vries Reilingh, S W Nienhuijs

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引用次数: 0

Abstract

Introduction: Health-related quality of life (QoL) is an essential patient-reported outcome in abdominal wall surgery. The aim of this systematic review was to evaluate short term outcome of QoL after complex incisional hernia repair (IHR), focusing on open surgery.

Methods: A multi-database systematic search was performed on patients treated for complex IHR. Studies evaluating the outcome in terms of QoL using validated questionnaires, at least three months postoperatively, were included. The methodology was graded, and patients' operative and outcome details were extracted.

Results: Seven studies were included, encompassing 729 patients, all of whom underwent an open approach. A significant increase in QoL was found in all types of questionnaires (Short Form-36 (SF-36), Carolinas Comfort Scale, Hernia Related QoL, and Numeric Rating Scale). SF-36 was used most frequently. A pooled standardized mean difference (SMD) of 0.70 (95% CI: 0.08-1.47 p < 0.00001) was yielded, indicating a moderate to large effect of the intervention compared to preoperative scores.

Conclusion: A limited number of studies have included QoL measurement after incisional hernia repair. In all studies, a significant increase was seen in QoL postoperatively. This review highlights the substantial benefits of open surgery in improving QoL, while emphasizing the need for further research to standardize outcome measurement and explore long-term results.

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.