Quality of Life after Hernia Surgery

Hernia ◽  
2015 ◽  
Vol 19 (S1) ◽  
pp. S127-S131 ◽  
Author(s):  
K. LeBlanc ◽  
D. Misra ◽  
J. Zacherl ◽  
G. Petrella ◽  
F. Khan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hernia Surgery

scholarly journals Measurement issues when assessing quality of life outcomes for different types of hernia mesh repair

2011 ◽  
Vol 93 (4) ◽  
pp. 281-285 ◽  
Author(s):  
Andras Zaborszky ◽  
Rita Gyanti ◽  
John A Barry ◽  
Brian K Saxby ◽  
Panchanan Bhattacharya ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Future Research ◽  
Life Outcomes ◽  
Hernia Surgery ◽  
Recurrence Rates ◽  
Quality Of Life Outcomes ◽  
Inguinal Hernia Surgery ◽  
Patient Reported ◽  
Different Types

INTRODUCTION The NHS is required to collect data from patient reported outcome measures (PROMs) for inguinal hernia surgery. We explored the use of one such measure, the Carolinas Comfort Scale® (CCS), to compare long-term outcomes for patients who received two different types of mesh. The CCS questionnaire asks about mesh sensation, pain and movement limitations, and combines the answers into a total score. PATIENTS AND METHODS A total of 684 patients were treated between January 2007 and August 2008 and were followed up in November 2009. RESULTS Data on 215 patients who met the inclusion criteria were available (96 patients who received Surgipro™ mesh and 119 who received Parietene™ Progrip™ mesh). Recurrence rates were similar in the Surgipro™ group (2/96, 2.1%) and Progrip™ group (3/118, 2.5%) (Fisher's exact test = 1.0). Chronic pain occurred less frequently in the Surgipro™ group (11/95, 11.6%) than in the Progrip™ group (22/118, 18.6%) (p<0.157). Overall, 90% of CCS total scores indicated a good outcome (scores of 10 or less out of 115). A principal component analysis of the CCS found that responses clustered into two subscales: ‘mesh sensation’ and ‘pain+movement limitations’. The Progrip™ group had a slightly higher mesh sensation score (p<0.051) and similar pain+movement limitations scores (p<0.120). CONCLUSIONS In this study of quality of life outcomes related to different mesh types, the CCS subscales were more sensitive to differences in outcome than the total CCS score for the whole questionnaire. Future research should consider using the CCS subscales rather than the CCS total score.

SP3.1.8 What happens to patients with acutely symptomatic hernia in the UK? Findings from the MASH study

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Victoria Proctor ◽  
MASH Steering Group ◽  
MASH Collaborators
Keyword(s):  
Quality Of Life ◽  
Elective Surgery ◽  
Management Strategies ◽  
Hernia Surgery ◽  
Phone Calls ◽  
Risk Patients ◽  
Hospital Morbidity ◽  
The Uk

Abstract Aims Acutely symptomatic abdominal wall and groin hernias (ASH) are a common reason for acute surgical admissions in the UK. There is limited data to guide the treatment of such presentations. This study aimed to assess outcomes of emergency hernia surgery, and identify common management strategies, to improve care for these high risk patients. Methods A 12 week, UK-based, multi-centre, collaborative, prospective cohort study (NCT04197271) recruited adults with ASH. Data on investigations, specific surgical intervention, in-hospital morbidity and mortality, and quality of life was measured. 30 and 90-day follow-up phone calls collected complications and quality of life. Descriptive analyses were performed to describe population and outcomes. Results Twenty-three acute Trusts recruited 264 patients. Inguinal (37.9%) and umbilical (37.1%) were the most common hernia locations. 17% were awaiting elective surgery and 17% had been previously declined intervention. CT was performed in 47%. 82% of patients had surgery within 48 hours, with 95% of procedures performed open and 93% under general anaesthesia. 3/11 laparoscopic procedures were converted to open. Mesh was used in 55%, this was typically synthetic non-absorbable (86%). Complications were infrequent; 2% developed pneumonia or delirium. Surgical site infection occurred in 3% and mortality was 1.2%. Quality of life improved between baseline and 30-days following repair. Conclusions There is variation in the management of ASH in the UK, particularly with repair techniques, use of mesh and laparoscopy. One in five patients was awaiting repair; this might indicate a need for expedited pathways and reprioritising of elective hernia repair.

scholarly journals O35 WHAT HAPPENS TO PATIENTS WITH ACUTELY SYMPTOMATIC HERNIA IN THE UK? FINDINGS FROM THE MASH STUDY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Victoria Proctor ◽  
Olivia Spence ◽  
Flora Burns ◽  
Susanna Green ◽  
Adele Sayers ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Abdominal Wall ◽  
Surgical Management ◽  
Large Scale ◽  
Elective Surgery ◽  
Hernia Surgery ◽  
Phone Calls ◽  
The Uk ◽  
Groin Hernias

Abstract Aim Acutely symptomatic abdominal wall and groin hernias (ASH) are a common reason for acute surgical admissions in the UK. There is limited data to guide the treatment of such presentations. This study aimed to assess outcomes of emergency hernia surgery, and identify common management strategies, to improve care for these high-risk patients. Material and Methods A 12 week, UK-based, multi-centre, collaborative, prospective cohort study (NCT04197271) recruited adults with ASH. Data on patient characteristics, inpatient management, quality of life, complications and wound healing was collected. 30 and 90-day follow-up phone calls assessed complications and quality of life. Descriptive analyses were performed to describe population and outcomes. Results Twenty-three acute Trusts recruited 268 patients. Inguinal (37.7%) and umbilical (37.7%) were the most common hernia locations. 13.4% were awaiting elective surgery and 13.1% had been previously declined intervention. CT was performed in 48%. 82% underwent surgical management with open repair (94%) under general anaesthesia (93%) being most common. 4/11 laparoscopic procedures were converted to open. 55% of repairs used mesh, typically synthetic non-absorbable (87%). Complications were infrequent with surgical site infection (9.4%), delirium (3.2%) and pneumonia (2.3%) being most common. Mortality was 1.5%. Immediate surgical management was associated with significant improvement in quality of life at 30 days. Conclusions There is variation in the investigation, management and surgical strategy to treat acutely symptomatic abdominal wall and groin hernias in the UK. Further large-scale work is needed to establish the optimal management strategy for specific acute presentations given the wide variation at present.

scholarly journals The effect of pedometer supported walking and telemonitoring after disc hernia surgery on pain, disability levels, and quality of life: study protocol

2019 ◽  
Vol 6 (2) ◽  
pp. 56
Author(s):  
Kadriye Aldemir ◽  
Aysel Gürkan
Keyword(s):  
Quality Of Life ◽  
Controlled Study ◽  
Mcgill Pain Questionnaire ◽  
Control Groups ◽  
Hernia Surgery ◽  
Disc Hernia ◽  
Walking Program ◽  
Pain Disability ◽  
And Control

<p class="abstract"><strong>Background:</strong> Surgical intervention is the most common among the methods used to treat LDH, and its success rate is high. Despite this, patients can experience mild to moderate pain and disability after surgery. In the management of this pain and disability, walking forms the first step of rehabilitation and is an easy and long term method. This study was planned to determine the effect of a pedometer supported walking program and telemonitoring after disc hernia surgery on pain, disability levels and quality of life.</p><p class="abstract"><strong>Methods:</strong> This study was planned as a randomized controlled study. Patients will be randomized into the study and control groups through the closed envelope method. Patients in the study group will receive an intervention through a 12 week walking program and weekly telemonitoring. The pain levels of the patients included in the study will be evaluated using the short form Mcgill pain questionnaire, their disability levels will be evaluated using the Oswestry disability index, and their quality of life will be evaluated using the SF-36. Patients in both the study and control groups will be evaluated with regard to pain and disability levels in the follow ups in the 3<sup>rd</sup>, 7<sup>th</sup>, and 11<sup>th</sup> weeks, and with regard to pain, disability, and quality of life in the 15<sup>th</sup> week.</p><p class="abstract"><strong>Conclusions: </strong>Daily regular walks have great importance in the management of mild lower back pain. This study was planned to determine the effect of walking with a pedometer after LDH surgery with weekly monitoring.</p>

Self-Compassion and Quality of Life in Adults Who Stutter

2020 ◽  
Vol 29 (4) ◽  
pp. 2097-2108
Author(s):  
Robyn L. Croft ◽  
Courtney T. Byrd
Keyword(s):  
Quality Of Life ◽  
Social Connectedness ◽  
The Self ◽  
Future Research ◽  
Self Compassion ◽  
Adults Who Stutter ◽  
And Gender ◽  
Relationship Of ◽  
The Impact

Purpose The purpose of this study was to identify levels of self-compassion in adults who do and do not stutter and to determine whether self-compassion predicts the impact of stuttering on quality of life in adults who stutter. Method Participants included 140 adults who do and do not stutter matched for age and gender. All participants completed the Self-Compassion Scale. Adults who stutter also completed the Overall Assessment of the Speaker's Experience of Stuttering. Data were analyzed for self-compassion differences between and within adults who do and do not stutter and to predict self-compassion on quality of life in adults who stutter. Results Adults who do and do not stutter exhibited no significant differences in total self-compassion, regardless of participant gender. A simple linear regression of the total self-compassion score and total Overall Assessment of the Speaker's Experience of Stuttering score showed a significant, negative linear relationship of self-compassion predicting the impact of stuttering on quality of life. Conclusions Data suggest that higher levels of self-kindness, mindfulness, and social connectedness (i.e., self-compassion) are related to reduced negative reactions to stuttering, an increased participation in daily communication situations, and an improved overall quality of life. Future research should replicate current findings and identify moderators of the self-compassion–quality of life relationship.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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