Abstract
Introduction: Umbilical hernia repair is one of the most common surgical procedures in the world. However, no comprehensive studies have been done regarding patient outcomes. Thus, the primary objective of this study is to review patient-centered outcomes of open umbilical hernia repair patients using preoperative, perioperative, and postoperative data as well as quality of life.
Methods: We retrospectively analyzed 70 patients from 2009 to 2014 after open umbilical hernia repair as part of an Institutional Review Board-approved, multi-hospital, multi-surgeon study. Patients were abstracted from a prospectively collected database. Evaluated data included patient demographics, preoperative data, peri operative data, postoperative data, and follow-up clinic visit data. Quality of life was assessed using three different health surveys.
Results: For 70 patients, gender was 70% male, mean age was 53.4 ± 13.6 years, mean BMI was 29.8 ± 6.3 kg/m2 • All hernias were primary. Mean preoperative pain score was 1.2 ± 2.0. Peri operatively, mean OR time was 29.1 ± 14.8 min, mean hernia size was 6.7 ± 8.1 cm2 mean mesh size was 20.0 ± 15.9 cm2, mean margin size was 6.8 ± 5.5 cm2 • Thirty-five percent (25) were primarily closed without mesh. There were no intraoperative complications. Postoperatively, mean length of stay was 7 ± 6.2 hours, mean pain score at discharge was 1.0/10 ± 1.5, overall recurrence rate was 4.2% (3/70), narcotic pain medication was stopped after a mean of 2.9 ± 3.0 days, return to activities of daily living occurred after a mean of 5.3 ± 3.4 days, and return to work occurred after a mean of 8.1 ± 6.9 days. Twenty-five patients did not take narcotic pain medication postoperatively. Postoperative complication rate was 5.7% (4 of 70). Quality of life surveys showed improvement after I year when compared to preoperative status.
Conclusion: Umbilical hernia repair can be performed with low morbidity and recurrence rates. Patients also experience improvement in their quality of life after repair.
Methods: We retrospectively analyzed 70 patients from 2009 to 2014 after open umbilical hernia repair as part of an Institutional Review Board-approved, multi-hospital, multi-surgeon study. Patients were abstracted from a prospectively collected database. Evaluated data included patient demographics, preoperative data, peri operative data, postoperative data, and follow-up clinic visit data. Quality of life was assessed using three different health surveys.
Results: For 70 patients, gender was 70% male, mean age was 53.4 ± 13.6 years, mean BMI was 29.8 ± 6.3 kg/m2 • All hernias were primary. Mean preoperative pain score was 1.2 ± 2.0. Peri operatively, mean OR time was 29.1 ± 14.8 min, mean hernia size was 6.7 ± 8.1 cm2 mean mesh size was 20.0 ± 15.9 cm2, mean margin size was 6.8 ± 5.5 cm2 • Thirty-five percent (25) were primarily closed without mesh. There were no intraoperative complications. Postoperatively, mean length of stay was 7 ± 6.2 hours, mean pain score at discharge was 1.0/10 ± 1.5, overall recurrence rate was 4.2% (3/70), narcotic pain medication was stopped after a mean of 2.9 ± 3.0 days, return to activities of daily living occurred after a mean of 5.3 ± 3.4 days, and return to work occurred after a mean of 8.1 ± 6.9 days. Twenty-five patients did not take narcotic pain medication postoperatively. Postoperative complication rate was 5.7% (4 of 70). Quality of life surveys showed improvement after I year when compared to preoperative status.
Conclusion: Umbilical hernia repair can be performed with low morbidity and recurrence rates. Patients also experience improvement in their quality of life after repair.
| Original language | English |
|---|---|
| Pages (from-to) | S35-S42 |
| Journal | Hernia |
| Volume | 19 |
| Issue number | Suppl. 1 |
| DOIs | |
| Publication status | Published - 31 Oct 2015 |
Research programs
- EMC ONWAR-01-94-01
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