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

{"title":"Does quality of life improve after complex incisional hernia repair? A systematic review.","authors":"D L C de Jong, J A Wegdam, E H M Berkvens, T S de Vries Reilingh, S W Nienhuijs","doi":"10.1007/s10029-025-03300-3","DOIUrl":null,"url":null,"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.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"110"},"PeriodicalIF":2.6000,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hernia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10029-025-03300-3","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}

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.

查看原文本刊更多论文

复杂切口疝修补后生活质量提高了吗？系统回顾。

与健康相关的生活质量（QoL）是腹壁手术患者报告的重要结果。本系统综述的目的是评估复杂切口疝修补术（IHR）后生活质量的短期结果，重点是开放手术。方法：对复杂国际卫生综合征患者进行多数据库系统检索。使用有效问卷评估术后至少三个月的生活质量结果的研究被纳入。对方法进行分级，并提取患者的手术和结果细节。结果：纳入7项研究，包括729例患者，所有患者均采用开放入路。所有类型的问卷（SF-36）、卡罗莱纳舒适量表、疝气相关生活质量和数值评定量表)均显著提高了生活质量。SF-36是使用最频繁的。合并标准化平均差（SMD）为0.70 （95% CI: 0.08-1.47 p）。结论：纳入切口疝修补术后生活质量测量的研究数量有限。在所有研究中，术后生活质量均有显著提高。这篇综述强调了开放手术在改善生活质量方面的实质性好处，同时强调需要进一步研究以标准化结果测量和探索长期结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.