دورية
Laparoscopic bilateral groin hernia repair with one large self-fixating mesh: prospective observational study with patient-reported outcome of urological symptoms and EuraHS-QoL scores
| العنوان: | Laparoscopic bilateral groin hernia repair with one large self-fixating mesh: prospective observational study with patient-reported outcome of urological symptoms and EuraHS-QoL scores |
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| المؤلفون: | Muysoms, Filip, Dewulf, Maxime, Kyle-Leinhase, Iris, Baumgartner, Rita, Ameye, Filip, Defoort, Barbara, Pletinckx, Pieter |
| المصدر: | Surgical Endoscopy; February 2020, Vol. 34 Issue: 2 p920-929, 10p |
| مستخلص: | Background: Laparoscopic bilateral inguinal hernia repair may be completed with one large self-fixating mesh crossing the midline. No studies have investigated in detail whether preperitoneal mesh placement induces temporary or more lasting urinary symptoms. Methods: Urinary and hernia-related symptoms were evaluated preoperatively and postoperatively at 1, 3 and 12 months using the ICIQ-MLUTS questionnaire and EuraHS-QoL score in patients undergoing bilateral inguinal hernia repair. Results: One hundred patients were included. Voiding symptoms and bother scores were unchanged at 1 or 3 months, but there was significant improvement at 12 months compared with preoperative findings (symptoms P< 0.001; bother score P< 0.01). Incontinence symptoms improved at 1 month (P< 0.05) but not at 3 or 12 months, with a bother score significantly improved at 1 month (P< 0.01) and 12 months (P< 0.01). Diurnal and nocturnal frequency did not change significantly postoperatively, but 12 months nocturnal bother score was decreased (P< 0.05). EuraHS-QoL scores showed statistical significant improvement in all three domains for all measurements at the different follow-up moments compared to previous measurements. Postoperative symptoms were improved at 12 months, compared with preoperative pain scores (− 6.1), restriction of activity (− 10.1) and cosmetic scores (− 4.7) These findings were statistically significant (P< 0.001). At 12 months, there were no patients with severe discomfort (score ≥ 5) for any of the three domains. No recurrences were diagnosed with 95% clinical follow-up at 12 months. Conclusion: Laparoscopic bilateral groin hernia repair with one large preperitoneal self-fixating mesh did not cause new urinary symptoms and demonstrated significant improvement in voiding symptoms at 12 months. Incontinence and nocturnal bother score were significantly improved. Clinical trial registry identifier: Clinical.Trials.gov: NCT02525666. |
| قاعدة البيانات: | Supplemental Index |
| تدمد: | 09302794 14322218 |
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| DOI: | 10.1007/s00464-019-06850-7 |