Patient-centered outcomes following laparoscopic ventral hernia repair: A systematic review of the current literature

Michael Sosin, Ketan M. Patel, Maurice Y. Nahabedian, Parag Bhanot

Research output: Contribution to journalArticle

Abstract

Background The purpose of this study was to systematically review patients who underwent laparoscopic ventral hernia repair (LVHR) and assess quality of life, pain, functionality, and patient satisfaction.

Data Sources MEDLINE, PubMed, and Cochrane database search identified 880 relevant articles. After the limits were applied, 14 articles were accepted for review. The analysis included health-related quality of life (HRQoL) measures including quality of life, pain, function, satisfaction, and mental and emotional well-being

Conclusions: Fourteen studies were reviewed. Mean study size was 92.6 subjects (24 to 306) and mean defect size was 71.7 cm2. LVHR improved the overall HRQoL in 6 of the 8 studies. Thirteen studies assessing pain demonstrated improved pain scores relative to preoperative levels and long-term follow up. LVHR was not associated with long-term pain. Functionality improved in 12 studies. Return to work ranged from 6 to 18 days postoperatively in 50% of studies and physical function scores improved in the remaining 50% of the studies. Patient satisfaction improved after LVHR in all studies assessing patient satisfaction. Fixation methods did not influence HRQoL. Laparoscopic repair was associated with improving mental and emotional well-being in 6 of the 7 studies.

Original languageEnglish (US)
Pages (from-to)677-684
Number of pages8
JournalAmerican Journal of Surgery
Volume208
Issue number4
DOIs
StatePublished - Oct 1 2014
Externally publishedYes

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Ventral Hernia
Herniorrhaphy
Quality of Life
Pain
Patient Satisfaction
Return to Work
Information Storage and Retrieval
PubMed
MEDLINE
Databases

Keywords

  • Abdominal wall
  • hernia
  • Laparoscopic ventral
  • Patient-reported outcomes
  • Quality of life
  • Ventral hernia repair

ASJC Scopus subject areas

  • Surgery

Cite this

Patient-centered outcomes following laparoscopic ventral hernia repair : A systematic review of the current literature. / Sosin, Michael; Patel, Ketan M.; Nahabedian, Maurice Y.; Bhanot, Parag.

In: American Journal of Surgery, Vol. 208, No. 4, 01.10.2014, p. 677-684.

Research output: Contribution to journalArticle

Sosin, Michael ; Patel, Ketan M. ; Nahabedian, Maurice Y. ; Bhanot, Parag. / Patient-centered outcomes following laparoscopic ventral hernia repair : A systematic review of the current literature. In: American Journal of Surgery. 2014 ; Vol. 208, No. 4. pp. 677-684.
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