Chronic pain and aesthetics after cosmetically motivated open primary ventral hernia repair: a survey- and register-based nationwide study.

IF 2.7 2区医学 Q1 SURGERY

Hernia Pub Date : 2026-10-14 DOI:10.1007/s10029-026-03879-1

Sofie Anne-Marie Skovbo Jensen, Anders Gram-Hanssen, Hugin Reistrup, Jacob Rosenberg, Jason Joe Baker

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引用次数: 0

Abstract

Purpose: The study aimed to assess patient-reported outcomes among patients undergoing elective open primary ventral hernia repair exclusively motivated by cosmetic concerns.

Methods: This Danish nationwide study included patients who underwent elective open ventral hernia repair from 2014 to 2024. Patients were identified through the Danish National Patient Register and invited to complete a digital survey. Survey data on surgical motivation and patient-reported outcomes were linked with data from the Danish Ventral Hernia Database. Outcomes included severe chronic pain, self-reported recurrence, cosmetic improvement, cosmetic satisfaction, and changes in quality of life. Targeted average treatment effects were estimated using g-computation.

Results: Among 14,263 eligible individuals, the survey response rate was 78%. Of respondents, 393 reported cosmetic-only motivation for surgery, and 8,016 reported physical symptoms as motivation. The population-averaged adjusted prevalence of severe chronic pain was 5.9% (95% CI 3.8-8.0) in the cosmetic-only motivation group versus 10.9% (95% CI 10.2-11.6) in the physical motivation group. Recurrence was likewise less frequent (7.0%, 95% CI 4.7-9.3 vs. 13.1%, 95% CI 12.3-13.8). The proportion reporting no improvement in quality of life did not differ significantly (8.6% vs. 6.1%; absolute difference - 2.6%, 95% CI -5.3-0.2), nor did Abdominal Hernia Questionnaire appearance scores (18.2 vs. 18.5; difference 0.3, 95% CI 0.0-0.5). Median follow-up was 6.8 and 5.2 years, respectively.

Conclusion: Most patients undergoing open repair of a small primary ventral hernia for cosmetic reasons experienced improved abdominal appearance and quality of life, while risks of chronic pain and recurrence remained relatively low.

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慢性疼痛和美学后的美容动机开放式原发性腹疝修补：一项调查和登记为基础的全国研究。

目的：该研究旨在评估患者报告的仅出于美容考虑而接受选择性开放式原发性腹疝修补术的患者的预后。方法：这项丹麦全国范围的研究纳入了2014年至2024年接受择期开放式腹疝修补术的患者。通过丹麦国家患者登记册确定患者，并邀请他们完成一项数字调查。关于手术动机和患者报告结果的调查数据与丹麦腹疝数据库的数据相关联。结果包括严重的慢性疼痛、自我报告的复发、美容改善、美容满意度和生活质量的改变。使用g计算估计目标平均处理效果。结果：在14263名符合条件的个人中，调查回复率为78%。在受访者中，393人表示手术的动机仅仅是为了美容，8016人表示身体症状是手术的动机。重度慢性疼痛的人口平均调整患病率在单纯美容动机组为5.9% (95% CI 3.8-8.0)，而在身体动机组为10.9% （95% CI 10.2-11.6）。复发率同样较低（7.0%,95% CI 4.7-9.3 vs. 13.1%, 95% CI 12.3-13.8）。报告生活质量没有改善的比例没有显著差异（8.6% vs 6.1%；绝对差值- 2.6%,95% CI -5.3-0.2），腹疝问卷外观评分也没有显著差异（18.2 vs 18.5；差值0.3,95% CI 0.0-0.5）。中位随访时间分别为6.8年和5.2年。结论：大多数因美容原因接受开放式腹疝修补术的患者腹部外观和生活质量得到改善，慢性疼痛和复发的风险仍然相对较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.